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Sample records for a1c fasting plasma

  1. Ethnicity modifies the relation between fasting plasma glucose and HbA1c in Indians, Malays and Chinese.

    PubMed

    Venkataraman, K; Kao, S L; Thai, A C; Salim, A; Lee, J J M; Heng, D; Tai, E S; Khoo, E Y H

    2012-07-01

    To study whether HbA(1c) , and its relationship with fasting plasma glucose, was significantly different among Chinese, Malays and Indians in Singapore. A sample of 3895 individuals without known diabetes underwent detailed interview and health examination, including anthropometric and biochemical evaluation, between 2004 and 2007. Pearson's correlation, analysis of variance and multiple linear regression analyses were used to examine the influence of ethnicity on HbA(1c) . As fasting plasma glucose increased, HbA(1c) increased more in Malays and Indians compared with Chinese after adjustment for age, gender, waist circumference, serum cholesterol, serum triglyceride and homeostasis model assessment of insulin resistance (P-interaction < 0.001). This translates to an HbA(1c) difference of 1.1 mmol/mol (0.1%, Indians vs. Chinese), and 0.9 mmol/mol (0.08%, Malays vs. Chinese) at fasting plasma glucose 5.6 mmol/l (the American Diabetes Association criterion for impaired fasting glycaemia); and 2.1 mmol/mol (0.19%, Indians vs. Chinese) and 2.6 mmol/mol (0.24%, Malays vs. Chinese) at fasting plasma glucose 7.0 mmol/l, the diagnostic criterion for diabetes mellitus. Using HbA(1c) in place of fasting plasma glucose will reclassify different proportions of the population in different ethnic groups. This may have implications in interpretation of HbA(1c) results across ethnic groups and the use of HbA(1c) for diagnosing diabetes mellitus. © 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK.

  2. Fasting plasma glucose and hemoglobin A1c in identifying and predicting diabetes: the strong heart study.

    PubMed

    Wang, Wenyu; Lee, Elisa T; Howard, Barbara V; Fabsitz, Richard R; Devereux, Richard B; Welty, Thomas K

    2011-02-01

    To compare fasting plasma glucose (FPG) and HbA(1c) in identifying and predicting type 2 diabetes in a population with high rates of diabetes. Diabetes was defined as an FPG level ≥ 126 mg/dL or an HbA(1c) level ≥ 6.5%. Data collected from the baseline and second exams (1989-1995) of the Strong Heart Study were used. RESULTS For cases of diabetes identified by FPG ≥ 126 mg/dL, using HbA(1c) ≥ 6.5% at the initial and 4-year follow-up diabetes screenings (or in identifying incident cases in 4 years) among undiagnosed participants left 46% and 59% of cases of diabetes undetected, respectively, whereas for cases identified by HbA(1c) ≥ 6.5%, using FPG ≥ 126 mg/dL left 11% and 59% unidentified, respectively. Age, waist circumference, urinary albumin-to-creatinine ratio, and baseline FPG and HbA(1c) levels were common significant risk factors for incident diabetes defined by either FPG or HbA(1c); triglyceride levels were significant for diabetes defined by HbA(1c) alone, and blood pressure and sibling history of diabetes were significant for diabetes defined by FPG alone. Using both the baseline FPG and HbA(1c) in diabetes prediction identified more people at risk than using either measure alone. CONCLUSIONS Among undiagnosed participants, using HbA(1c) alone in initial diabetes screening identifies fewer cases of diabetes than FPG, and using either FPG or HbA(1c) alone cannot effectively identify diabetes in a 4-year periodic successive diabetes screening or incident cases of diabetes in 4 years. Using both criteria may identify more people at risk. The proposed models using the commonly available clinical measures can be applied to assessing the risk of incident diabetes using either criterion.

  3. Comparison of the Current Diagnostic Criterion of HbA1c with Fasting and 2-Hour Plasma Glucose Concentration

    PubMed Central

    Karnchanasorn, Rudruidee; Huang, Jean; Feng, Wei; Chuang, Lee-Ming

    2016-01-01

    To determine the effectiveness of hemoglobin A1c (HbA1c) ≥ 6.5% in diagnosing diabetes compared to fasting plasma glucose (FPG) ≥ 126 mg/dL and 2-hour plasma glucose (2hPG) ≥ 200 mg/dL in a previously undiagnosed diabetic cohort, we included 5,764 adult subjects without established diabetes for whom HbA1c, FPG, 2hPG, and BMI measurements were collected. Compared to the FPG criterion, the sensitivity of HbA1c ≥ 6.5% was only 43.3% (106 subjects). Compared to the 2hPG criterion, the sensitivity of HbA1c ≥ 6.5% was only 28.1% (110 subjects). Patients who were diabetic using 2hPG criterion but had HbA1c < 6.5% were more likely to be older (64 ± 15 versus 60 ± 15 years old, P = 0.01, mean ± STD), female (53.2% versus 38.2%, P = 0.008), leaner (29.7 ± 6.1 versus 33.0 ± 6.6 kg/m2, P = 0.000005), and less likely to be current smokers (18.1% versus 29.1%, P = 0.02) as compared to those with HbA1c ≥ 6.5%. The diagnostic agreement in the clinical setting revealed the current HbA1c ≥ 6.5% is less likely to detect diabetes than those defined by FPG and 2hPG. HbA1c ≥ 6.5% detects less than 50% of diabetic patients defined by FPG and less than 30% of diabetic patients defined by 2hPG. When the diagnosis of diabetes is in doubt by HbA1c, FPG and/or 2hPG should be obtained. PMID:27597979

  4. Fasting and 2-hour plasma glucose, and HbA1c in pregnancy and the postpartum risk of diabetes among Chinese women with gestational diabetes.

    PubMed

    Liu, Huikun; Zhang, Shuang; Wang, Leishen; Leng, Junhong; Li, Weiqin; Li, Nan; Li, Min; Qiao, Yijuan; Tian, Huiguang; Tuomilehto, Jaakko; Yang, Xilin; Yu, Zhijie; Hu, Gang

    2016-02-01

    Very few studies have assessed the association of fasting and 2h glucose, and HbA1c during pregnancy with postpartum diabetes risk among women with prior gestational diabetes mellitus (GDM). We assessed the association of fasting glucose, 2h glucose and HbA1c at 26-30 gestational weeks with postpartum diabetes risk among women with prior GDM. A cohort study in 1263 GDM women at 1-5 years after delivery was performed. Cox proportional hazards regression models were used to evaluate the association of fasting and 2h plasma glucose, and HbA1c at 26-30 gestational weeks with the risk of diabetes at postpartum. The multivariable-adjusted (age, pre-pregnancy body mass index, weight gain during pregnancy, current body mass index, family history of diabetes, marital status, education, family income, smoking status, passive smoking, leisure-time physical activity, alcohol drinking, and intake of energy, saturated fat, and dietary fiber) hazard ratios of postpartum diabetes were 1.61 (95% confidence interval [CI]: 1.36-1.91) for each 1 mmol/l increase in fasting glucose during pregnancy, 1.63 (95% CI: 1.45-1.84) for each 1 mmol/l increase in 2h glucose during pregnancy, 2.11 (95% CI: 1.50-2.97) for each 1 unit (%) increase in HbA1c during pregnancy. When fasting glucose, 2h glucose and HbA1c during pregnancy were entered multivariable-adjusted model simultaneously, 2h glucose and HbA1c but not fasting glucose remained to be significant and positive predictors for postpartum diabetes. For women with prior GDM, 2h plasma glucose and HbA1c during pregnancy are independent predictors of postpartum diabetes, but fasting plasma glucose during pregnancy is not. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  5. Are the Same Clinical Risk Factors Relevant for Incident Diabetes Defined by Treatment, Fasting Plasma Glucose, and HbA1c?

    PubMed Central

    Balkau, Beverley; Soulimane, Soraya; Lange, Céline; Gautier, Alain; Tichet, Jean; Vol, Sylviane

    2011-01-01

    OBJECTIVE To compare incidences and risk factors for diabetes using seven definitions, with combinations of pharmacological treatment, fasting plasma glucose (FPG) ≥7.0 mmol/L, and HbA1c ≥6.5%. RESEARCH DESIGN AND METHODS Participants aged 30–65 years from the Data from an Epidemiological Study on the Insulin Resistance Syndrome (DESIR) cohort were followed for 9 years. RESULTS More men had incident diabetes as defined by FPG ≥7.0 mmol/L and/or treatment than by HbA1c ≥6.5% and/or treatment: 7.5% (140/1,867) and 5.3% (99/1,874), respectively (P < 0.009); for women incidences were similar: 3.2% (63/1,958) and 3.4% (66/1,954). Known risk factors predicted diabetes for almost all definitions. Among those with incident diabetes by FPG alone versus HbA1c alone, there were more men (78 vs. 35%), case patients were 8 years younger, and fewer were alcohol abstainers (12 vs. 35%) (all P < 0.005). A diabetes risk score discriminated well between those with and without incident diabetes for all definitions. CONCLUSIONS In men, FPG definitions yielded more incident cases of diabetes than HbA1c definitions, in contrast with women. An FPG-derived risk score remained relevant for HbA1c-defined diabetes. PMID:21346181

  6. Glycated haemoglobin (HbA1c ) and fasting plasma glucose relationships in sea-level and high-altitude settings.

    PubMed

    Bazo-Alvarez, J C; Quispe, R; Pillay, T D; Bernabé-Ortiz, A; Smeeth, L; Checkley, W; Gilman, R H; Málaga, G; Miranda, J J

    2017-06-01

    Higher haemoglobin levels and differences in glucose metabolism have been reported among high-altitude residents, which may influence the diagnostic performance of HbA1c . This study explores the relationship between HbA1c and fasting plasma glucose (FPG) in populations living at sea level and at an altitude of > 3000 m. Data from 3613 Peruvian adults without a known diagnosis of diabetes from sea-level and high-altitude settings were evaluated. Linear, quadratic and cubic regression models were performed adjusting for potential confounders. Receiver operating characteristic (ROC) curves were constructed and concordance between HbA1c and FPG was assessed using a Kappa index. At sea level and high altitude, means were 13.5 and 16.7 g/dl (P > 0.05) for haemoglobin level; 41 and 40 mmol/mol (5.9% and 5.8%; P < 0.01) for HbA1c ; and 5.8 and 5.1 mmol/l (105 and 91.3 mg/dl; P < 0.001) for FPG, respectively. The adjusted relationship between HbA1c and FPG was quadratic at sea level and linear at high altitude. Adjusted models showed that, to predict an HbA1c value of 48 mmol/mol (6.5%), the corresponding mean FPG values at sea level and high altitude were 6.6 and 14.8 mmol/l (120 and 266 mg/dl), respectively. An HbA1c cut-off of 48 mmol/mol (6.5%) had a sensitivity for high FPG of 87.3% (95% confidence interval (95% CI) 76.5 to 94.4) at sea level and 40.9% (95% CI 20.7 to 63.6) at high altitude. The relationship between HbA1c and FPG is less clear at high altitude than at sea level. Caution is warranted when using HbA1c to diagnose diabetes mellitus in this setting. © 2017 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.

  7. Risk of progression to diabetes from prediabetes defined by HbA1c or fasting plasma glucose criteria in Koreans.

    PubMed

    Kim, Chul-Hee; Kim, Hong-Kyu; Kim, Eun-Hee; Bae, Sung-Jin; Choe, Jaewon; Park, Joong-Yeol

    2016-08-01

    To examine the abilities of HbA1c and fasting plasma glucose (FPG) criteria predicting 5-year progression rate to diabetes in Korean adults with prediabetes. Participants included 17,971 Koreans (aged 20-79years) who underwent routine medical check-ups at a mean interval of 5.2years (3.1-6.7years). Prediabetes was defined as FPG 5.6-6.9mmol/l or HbA1c 5.7-6.4% (39-46mmol/mol). Incident diabetes was defined as FPG⩾7.0mmol/l, HbA1c⩾6.5% (48mmol/mol), or initiation of antidiabetic medications. At baseline, the prevalence of prediabetes was 30.6% (n=5495) by FPG and 20.4% (n=3664) by HbA1c criteria. The 5-year progression rate to diabetes was significantly higher in prediabetes identified by HbA1c than by FPG tests (14.7% vs. 10.4%, P<0.001). Of individuals diagnosed with prediabetes by only one test, those by HbA1c alone had a higher risk of progression to diabetes than those diagnosed by FPG alone (6.0% vs. 3.9%, P<0.001). Receiver operating characteristic curve analysis showed that area under the curve was greater for HbA1c (0.855, 95% CI 0.840-0.870) than for FPG (0.830, 0.813-0.846) (P=0.016). After adjustment for conventional risk factors, the odds ratio (OR) of developing diabetes was higher in participants with prediabetes identified by HbA1c (OR 9.91, 8.24-11.9) than by FPG (OR 7.29, 5.97-8.89) (P=0.026). Although fewer individuals with prediabetes were identified by HbA1c than by FPG criteria, the ability to predict progression to diabetes was stronger for HbA1c than for FPG in Koreans. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  8. Combined use of fasting plasma glucose and glycated hemoglobin A1c in a stepwise fashion to detect undiagnosed diabetes mellitus.

    PubMed

    Nakagami, Tomoko; Tominaga, Makoto; Nishimura, Rimei; Daimon, Makoto; Oizumi, Toshihide; Yoshiike, Nobuo; Tajima, Naoko

    2007-09-01

    Type 2 diabetes mellitus (DM) is a common and serious condition related with considerable morbidity. Screening for DM is one strategy for reducing this burden. In Japan National Diabetes Screening Program (JNDSP) guideline, the combined use of fasting plasma glucose (FPG) and glycated hemoglobin A1c (HbA1c) in a stepwise fashion has been recommended to identify the group of people needing life-style counseling or medical care. However, the efficacy of this program has not been fully evaluated, as an oral glucose tolerance test (OGTT) is not mandatory in the guideline. The aim of this study was to assess the validity of the screening test scenario, in which an OGTT would be applied to people needing life-style counseling or medical care on this guideline: FPG 110-125 mg/dl and HbA1c over 5.5%. Subjects were 1,726 inhabitants without a previous history of DM in the Funagata study, which is a population-based survey conducted in Yamagata prefecture to clarify the risk factors, related conditions, and consequences of DM. DM was diagnosed according to the 1999 World Health Organization criteria. The prevalence of undiagnosed DM was 6.6%. The tested screening scenario gave a sensitivity of 55.3%, a specificity of 98.4%, a positive predictive value of 70.8%, and a negative predictive value of 96.9% for undiagnosed DM. In conclusion, the screening test scenario, in which an OGTT would be followed by the combined use of FPG and HbA1c in a stepwise fashion according to the JNDSP guideline, was not effective in identifying people with undiagnosed DM.

  9. HbA1c, fasting plasma glucose and the prediction of diabetes: Inter99, AusDiab and D.E.S.I.R.

    PubMed

    Soulimane, Soraya; Simon, Dominique; Shaw, Jonathan; Witte, Daniel; Zimmet, Paul; Vol, Sylviane; Borch-Johnsen, Knut; Magliano, Dianna; Vistisen, Dorte; Balkau, Beverley

    2012-06-01

    With diabetes defined by HbA1c≥6.5% and/or FPG≥7.0mmol/l and/or diabetes treatment, we investigated HbA1c and fasting plasma glucose (FPG) thresholds/change-points above which the incidence of diabetes increases. Data are Danish (Inter99), Australian (AusDiab) and French (D.E.S.I.R.), with respectively 4930, 6012 and 3784 non-diabetic participants. Diabetes incidences at 5 years for Inter99 and AusDiab and at 6 years for D.E.S.I.R. were 2.3%, 3.1% and 2.4% respectively and incidences increased with baseline HbA1c and FPG. As HbA1c distributions differed between cohorts, HbA1c was standardized on D.E.S.I.R. data. Change-points where diabetes incidence increased were identified for HbA1c (%) after standardization: 5.1 (4.9-5.6) (Inter99), 5.4 (5.1-5.6) (AusDiab), 5.3 (5.1-5.7) (D.E.S.I.R.); for FPG change-points (mmol/l) were 5.1 (…-6.1) (Inter99), 5.5 (5.2-5.8) (AusDiab), no change-point for D.E.S.I.R. Using current diabetes risk criteria HbA1c≥5.7% and/or FPG≥5.6mmol/l to screen for diabetes provided high sensitivity (over 89%) and positive predictive values: 4.3%, 6.9%, and 5.9% respectively. HbA1c and FPG change-points predicting incident diabetes did not always exist, differed across studies, when available were generally lower than current criteria with wide confidence intervals. Using jointly HbA1c≥5.7% and/or FPG≥5.6mmol/l as a criterion for the risk of incident diabetes is appropriate. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  10. Modelling the Relative Contribution of Fasting and Post-Prandial Plasma Glucose to HbA1c in Healthy and Type 2 Diabetic Subjects

    ERIC Educational Resources Information Center

    Ollerton, Richard L.; Luzio, Steven D.; Owens, David R.

    2004-01-01

    Glycated haemoglobin (HbA1c) is regarded as the gold standard of glucose homeostasis assessment in diabetes. There has been much discussion in recent medical literature of experimental results concerning the relative contribution of fasting and post-prandial glucose levels to the value of HbA1c. A mathematical model of haemoglobin glycation is…

  11. Modelling the Relative Contribution of Fasting and Post-Prandial Plasma Glucose to HbA1c in Healthy and Type 2 Diabetic Subjects

    ERIC Educational Resources Information Center

    Ollerton, Richard L.; Luzio, Steven D.; Owens, David R.

    2004-01-01

    Glycated haemoglobin (HbA1c) is regarded as the gold standard of glucose homeostasis assessment in diabetes. There has been much discussion in recent medical literature of experimental results concerning the relative contribution of fasting and post-prandial glucose levels to the value of HbA1c. A mathematical model of haemoglobin glycation is…

  12. C-Peptide Level in Fasting Plasma and Pooled Urine Predicts HbA1c after Hospitalization in Patients with Type 2 Diabetes Mellitus.

    PubMed

    Sonoda, Remi; Tanaka, Kentaro; Kikuchi, Takako; Onishi, Yukiko; Takao, Toshiko; Tahara, Tazu; Yoshida, Yoko; Suzawa, Naoki; Kawazu, Shoji; Iwamoto, Yasuhiko; Kushiyama, Akifumi

    2016-01-01

    In this study, we investigate how measures of insulin secretion and other clinical information affect long-term glycemic control in patients with type 2 diabetes mellitus. Between October 2012 and June 2014, we monitored 202 diabetes patients who were admitted to the hospital of Asahi Life Foundation for glycemic control, as well as for training and education in diabetes management. We measured glycated hemoglobin (HbA1c) six months after discharge to assess disease management. In univariate analysis, fasting plasma C-peptide immunoreactivity (F-CPR) and pooled urine CPR (U-CPR) were significantly associated with HbA1c, in contrast to ΔCPR and C-peptide index (CPI). This association was strongly independent of most other patient variables. In exploratory factor analysis, five underlying factors, namely insulin resistance, aging, sex differences, insulin secretion, and glycemic control, represented patient characteristics. In particular, insulin secretion and resistance strongly influenced F-CPR, while insulin secretion affected U-CPR. In conclusion, the data indicate that among patients with type 2 diabetes mellitus, F-CPR and U-CPR may predict improved glycemic control six months after hospitalization.

  13. C-Peptide Level in Fasting Plasma and Pooled Urine Predicts HbA1c after Hospitalization in Patients with Type 2 Diabetes Mellitus

    PubMed Central

    Sonoda, Remi; Tanaka, Kentaro; Kikuchi, Takako; Onishi, Yukiko; Takao, Toshiko; Tahara, Tazu; Yoshida, Yoko; Suzawa, Naoki; Kawazu, Shoji; Iwamoto, Yasuhiko; Kushiyama, Akifumi

    2016-01-01

    In this study, we investigate how measures of insulin secretion and other clinical information affect long-term glycemic control in patients with type 2 diabetes mellitus. Between October 2012 and June 2014, we monitored 202 diabetes patients who were admitted to the hospital of Asahi Life Foundation for glycemic control, as well as for training and education in diabetes management. We measured glycated hemoglobin (HbA1c) six months after discharge to assess disease management. In univariate analysis, fasting plasma C-peptide immunoreactivity (F-CPR) and pooled urine CPR (U-CPR) were significantly associated with HbA1c, in contrast to ΔCPR and C-peptide index (CPI). This association was strongly independent of most other patient variables. In exploratory factor analysis, five underlying factors, namely insulin resistance, aging, sex differences, insulin secretion, and glycemic control, represented patient characteristics. In particular, insulin secretion and resistance strongly influenced F-CPR, while insulin secretion affected U-CPR. In conclusion, the data indicate that among patients with type 2 diabetes mellitus, F-CPR and U-CPR may predict improved glycemic control six months after hospitalization. PMID:26849676

  14. Six weeks' sebacic acid supplementation improves fasting plasma glucose, HbA1c and glucose tolerance in db/db mice

    PubMed Central

    Membrez, M; Chou, C J; Raymond, F; Mansourian, R; Moser, M; Monnard, I; Ammon-Zufferey, C; Mace, K; Mingrone, G; Binnert, C

    2010-01-01

    Aim: To investigate the impact of chronic ingestion of sebacic acid (SA), a 10-carbon medium-chain dicarboxylic acid, on glycaemic control in a mouse model of type 2 diabetes (T2D). Methods: Three groups of 15 db/db mice were fed for 6 weeks either a chow diet (Ctrl) or a chow diet supplemented with 1.5 or 15% (SA1.5% and SA15%, respectively) energy from SA. Fasting glycaemia was measured once a week and HbA1c before and after supplementation. An oral glucose tolerance test (OGTT) was performed at the end of the supplementation. Gene expression was determined by transcriptomic analysis on the liver of the Ctrl and SA15% groups. Results: After 42 days of supplementation, fasting glycaemia and HbA1c were ∼70 and 25% lower in the SA15% group compared with the other groups showing a beneficial effect of SA on hyperglycaemia. During OGTT, plasma glucose area under the curve was reduced after SA15% compared with the other groups. This effect was associated with a tendency for an improved insulin response. In the liver, Pck1 and FBP mRNA were statistically decreased in the SA15% compared with Ctrl suggesting a reduced hepatic glucose output induced by SA. Conclusion: Dietary supplementation of SA largely improves glycaemic control in a mouse model of T2D. This beneficial effect may be due to (i) an improved glucose-induced insulin secretion and (ii) a reduced hepatic glucose output. PMID:20977585

  15. Does A1c consistently reflect mean plasma glucose?

    PubMed

    Shrom, David; Sarwat, Samiha; Ilag, Liza; Bloomgarden, Zachary T

    2010-06-01

    A1c, a surrogate measure of glycemic control, is known to have a strong linear correlation with mean plasma glucose (MPG) when analyzed in populations of patients. However, clinically significant intersubject variability in this relationship exists, which suggests that A1c measurements may not reflect actual glycemic control in some patients. In the present study we explored the extent to which A1c accurately represents glycemic control, as measured by MPG, for individual patients. Data were pooled from randomized clinical trials in which A1c and self-monitored plasma glucose (SMPG) profiles were collected by patients with Type 2 diabetes treated with insulin analog regimens. MPG levels were calculated from SMPG profiles. Distributions of MPG were analyzed for patients within similar ranges of A1c (<6.5%, 6.5%-<7.5%, 7.5%-<8.5%, 8.5%-<9.5%, and ≥9.5%) and distributions of A1c were analyzed in patients within similar ranges of MPG (<6.1, 6.1-<7.8, 7.8-<9.4, 9.4-<11.1, and ≥11.1 mmol/L). Substantial proportions of patients had clinically significant differences between A1c and MPG. For example, among 260 patients with A1c between 6.5% and 7.5%, 10% had MPG levels <6.4 mmol/L, whereas 10% had MPG >9.5 mmol/L. Among the 224 patients with MPG levels ≥6.1 mmol/L and <7.8 mmol/L, 10% had A1c <6% and 10% had A1c >8.1%. In the absence of SMPG, A1c may inadequately represent glycemic control for many diabetic patients. © 2010 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Blackwell Publishing Asia Pty Ltd.

  16. Effect of dietary polyphenols from hop (Humulus lupulus L.) pomace on adipose tissue mass, fasting blood glucose, hemoglobin A1c, and plasma monocyte chemotactic protein-1 levels in OLETF rats.

    PubMed

    Yui, Kazuki; Uematsu, Hiroki; Muroi, Keisuke; Ishii, Kazuhiro; Baba, Minako; Osada, Kyoichi

    2013-01-01

    Hop (Humulus lupulus L.) pomace contains procyanidin-rich polyphenols, which are large oligomeric compounds of catechin. We studied the effect of high dose (1%) of dietary hop pomace polyphenols (HPs) in Otsuka Long-EvansTokushima Fatty (OLETF) rats, an animal model of type 2 diabetes. By 70 days, the rats fed HPs tended to have a lower body weight and reduced mesenteric white adipose tissue weight than the rats fed a control diet. Triglyceride levels in both plasma and liver tended to be lower in the HPs-fed group than in the control group. Dietary HPs substantially suppressed the activities of hepatic fatty acid synthetase, glucose-6-phosphate dehydrogenase, and malic enzyme, through the suppression of SREBP1c mRNA expression in OLETF rats. Moreover, in the HPs-fed group, monocyte chemotactic protein-1 (MCP-1) expression and fasting blood glucose levels at 40 days, and hemoglobin A1c (HbA1c) levels at 70 days were significantly lower than those in the control group. Thus, dietary HPs may exert an ameliorative function on hepatic fatty acid metabolism, glucose metabolism, and inflammatory response accompanying the increase of the adipose tissue mass in OLETF rats.

  17. A Comparison of HbA1c and Fasting Blood Sugar Tests in General Population

    PubMed Central

    Ghazanfari, Zahra; Haghdoost, Ali Akbar; Alizadeh, Sakineh Mohammad; Atapour, Jamileh; Zolala, Farzaneh

    2010-01-01

    Objectives: Early diagnosis of diabetes is crucially important in reduction of the complications. Although HbA1c is an accurate marker for the prediction of complications, less information is available about its accuracy in diagnosis of diabetes. In this study, the association between HbA1c and FBS was assessed through a cross-sectional population-based study. Methods: A random sample of population in Kerman city was selected. The total number was 604 people. Their HbA1c and fasting blood sugar (FBS) were tested. The association between HbA1c and FBS and also their sensitivity, specificity and predictive values in detection of abnormal values of each other were determined. Results: The association of HbA1c with FBS was relatively strong particularly in diabetic subjects. Generally, FBS was a more accurate predictor for HbA1c compared with HbA1c as a predictor of FBS. Although the optimum cutoff point of HbA1c was >6.15%, its precision was comparable with the conventional cutoff point of >6%. Conclusions: In conclusion, FBS sounds more reliable to separate diabetic from non-diabetic subjects than HbA1c. In case of being interested in using HbA1c in screening, the conventional cutoff points of 6% is an acceptable threshold for discrimination of diabetics from non-diabetics. PMID:21566790

  18. The heritability of HbA1c and fasting blood glucose in different measurement settings.

    PubMed

    Simonis-Bik, Annemarie M C; Eekhoff, Elisabeth M W; Diamant, Michaela; Boomsma, Dorret I; Heine, Rob J; Dekker, Jacqueline M; Willemsen, Gonneke; van Leeuwen, Marieke; de Geus, Eco J C

    2008-12-01

    In an extended twin study we estimated the heritability of fasting HbA1c and blood glucose levels. Blood glucose was assessed in different settings (at home and in the clinic). We tested whether the genetic factors influencing fasting blood glucose levels overlapped with those influencing HbA1c and whether the same genetic factors were expressed across different settings. Fasting blood glucose was measured at home and during two visits to the clinic in 77 healthy families with same-sex twins and siblings, aged 20 to 45 years. HbA1c was measured during the first clinic visit. A 4-variate genetic structural equation model was used that estimated the heritability of each trait and the genetic correlations among traits. Heritability explained 75% of the variance in HbA1c. The heritability of fasting blood glucose was estimated at 66% at home and lower in the clinic (57% and 38%). Fasting blood glucose levels were significantly correlated across settings (0.34 < r < 0.54), mostly due to a common set of genes that explained between 53% and 95% of these correlations. Correlations between HbA1c and fasting blood glucoses were low (0.11 < r < 0.23) and genetic factors influencing HbA1c and fasting glucose were uncorrelated. These results suggest that in healthy adults the genes influencing HbA1c and fasting blood glucose reflect different aspects of the glucose metabolism. As a consequence these two glycemic parameters can not be used interchangeably in diagnostic procedures or in studies attempting to find genes for diabetes. Both contribute unique (genetic) information.

  19. Low association between fasting and OGTT stimulated glucose levels with HbA1c in overweight children and adolescents.

    PubMed

    Ehehalt, Stefan; Wiegand, Susanna; Körner, Antje; Schweizer, Roland; Liesenkötter, Klaus-Peter; Partsch, Carl-Joachim; Blumenstock, Gunnar; Spielau, Ulrike; Denzer, Christian; Ranke, Michael B; Neu, Andreas; Binder, Gerhard; Wabitsch, Martin; Kiess, Wieland; Reinehr, Thomas

    2016-11-22

    Diabetes and prediabetes are defined based on different methods such as fasting glucose, glucose at 2-hour in oral glucose tolerance test (OGTT), and glycated hemoglobin A1c (HbA1c). These parameters probably describe different deteriorations in glucose metabolism limiting the exchange between each other in definitions of diabetes. To investigate the relationship between OGTT and HbA1c in overweight and obese children and adolescents living in Germany. Study population: Overweight and obese children and adolescents (n = 4848; 2668 female) aged 7 to 17 years without known diabetes. The study population was stratified into the following subgroups: normal glucose tolerance, prediabetes, diabetes according to OGTT and/or HbA1c categories, confirmed diagnosis of diabetes. In the entire study group fasting plasma glucose (FPG) correlated weakly to 2-hour glucose (r = 0.26), FPG correlated weakly to HbA1c (r = 0.18), and 2-hour glucose correlated weakly to HbA1c (r = 0.17, all P < .001). Patients with confirmed diabetes showed a very high correlation between FPG and 2-hour glucose (r = 0.73, n = 50). Moderate correlations could be found for patients with impaired fasting glucose (2-hour glucose vs HbA1c: r = 0.30, n = 436), for patients with diabetes according to OGTT and/or HbA1c (FPG vs 2-hour glucose: r = 0.43; 2-hour glucose vs HbA1c: r = -0.30, n = 115) and for patients with confirmed diabetes (2-hour glucose vs HbA1c: r = -0.47, all P < .001). Because FPG, 2-hour glucose, and HbA1c correlated only weakly we propose that these parameters, particularly in the normal range, might reflect distinct aspects of carbohydrate metabolism. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. Elevation of fasting morning glucose relative to hemoglobin A1c in normoglycemic patients treated with niacin and with statins.

    PubMed

    Rajanna, Veena; Campbell, Kristen B; Leimberger, Jeffrey; Mohanty, Bibhu D; Guyton, John R

    2012-01-01

    Niacin increases fasting glucose levels, and statins modestly increase the rate of new-onset diabetes. The clinical importance and mechanisms of these effects are not fully explored. On the basis of anecdotal observations, we hypothesized that elevated morning fasting glucose may be accompanied by relatively normal hemoglobin A1c (HbA1c) in patients treated with niacin and other lipid-modifying drugs. We conducted a retrospective cohort analysis to test this hypothesis. The Duke Lipid Clinic database (1994-2007) was screened for simultaneous determinations of fasting morning glucose and HbA1c, yielding 1483 data pairs among 554 subjects. Subjects with diabetes, by clinical diagnosis, medication, or any HbA1c ≥6.5%, or nondiabetes were analyzed separately. Repeated-measures linear regression featured glucose as dependent variable and included terms for HbA1c, drug(s), and their interaction. Regression lines for glucose on HbA1c had altered slopes in the presence of niacin and/or statin use in normoglycemic subjects. The corresponding interaction terms (drug and HbA1c) were significant (niacin P = .026, statin P = .013). Fibrate use had no effect (interaction P = .49). When modeled together, niacin and statin effects were independent. Regression curves in diabetic patients were not affected by lipid medications. Elevated fasting glucose may be accompanied by relatively normal HbA1c in niacin- and statin-treated patients. HbA1c reflects average daily glucose levels and is likely a better measure of the glycemic effect of lipid medications. Because our data were retrospective, confirmation from randomized trials is needed. Copyright © 2012 National Lipid Association. Published by Elsevier Inc. All rights reserved.

  1. Association between HbA1c and carotid atherosclerosis among elderly Koreans with normal fasting glucose

    PubMed Central

    Lee, Seung Won; Kim, Hyeon Chang; Lee, Yong-ho; Song, Bo Mi; Choi, Hansol; Park, Ji Hye; Rhee, Yumie; Kim, Chang Oh

    2017-01-01

    Aim We examined whether glycated haemoglobin (HbA1c) is associated to carotid atherosclerosis in an elderly Korean population with normal fasting glucose. Methods Using data from the Korean Urban Rural Elderly study, we conducted a cross-sectional analysis of 1,133 participants (335 men and 798 women) with a mean age of 71.8 years. All participants had fasting blood glucose less than 100mg/dL (5.6 mmol/L) and HbA1c level below 6.5% (48 mmol/mol). They were also free from a history of cardiovascular disease, known type 2 diabetes mellitus or use of anti-diabetes medications. Carotid atherosclerosis was assessed by intima-media thickness (IMT) using ultrasonography. The association between HbA1c and carotid IMT was investigated using multivariable linear regression analysis. Results HbA1c levels were independently and positively associated with carotid IMT (β = 0.020, p = 0.045) after adjusting for sex, age, body mass index, systolic blood pressure, diastolic blood pressure, triglyceride, LDL cholesterol, smoking and alcohol intake. However, fasting insulin and glucose levels were not associated with carotid IMT. Conclusion HbA1c levels were positively associated with carotid atherosclerosis, as assessed by carotid IMT, in an elderly population with normoglycemia. Our study suggested that higher HbA1c level is an effective and informative marker of carotid atherosclerosis in an elderly population. PMID:28178313

  2. Divergence between HbA1c and fasting glucose through childhood: implications for diagnosis of impaired fasting glucose (Early Bird 52).

    PubMed

    Hosking, Joanne; Metcalf, Brad S; Jeffery, Alison N; Streeter, Adam J; Voss, Linda D; Wilkin, Terence J

    2014-05-01

    An HbA1c threshold of ≥ 6.5% has recently been adopted for the diagnosis of diabetes in adults, and of ≥ 5.7% to identify adults at risk. Little,however, is known of HbA1c's behaviour or diagnostic value in youth. Our aim was to describe the course of HbA1c during childhood, and its association with fasting glucose. HbA1c and glucose were measured every year in a cohort of 326 healthy children (162 boys) from 5 to 15 years. Mixed effects modelling was used to establish the determinants of HbA1c and its development over time. ROC analysis was used to determine the diagnostic value of HbA1c in the 55 individuals who showed impaired fasting glucose(IFG – glucose ≥ 5.6 mmol/L). Glucose rose progressively from 4.3 mmol/L at 5 years to 5.1 mmol/Lat 15 years, and although there were positive associations between HbA1c and glucose, from 10 to 13 years, HbA1c fell while glucose continued to rise. IFG developed in 55 children, but HbA1c exceeded 5.7% in only 16 of them. The maximum area under the ROC curve was 0.71 at the age of 14 (p<0.001), and the sensitivity and specificity were optimal at 50 and 80% respectively,corresponding to HbA1c of 5.4%. Although HbA1c retains a positive association with glucose throughout childhood, it is weak, and their trends diverge from 10 years,suggesting that factors other than glycaemia systematically influence the variance of HbA1c in youth. These findings therefore limit the interpretation of HbA1c for the diagnosis of IFG during childhood.

  3. Reduction of Fasting Blood Glucose and Hemoglobin A1c Using Oral Aloe Vera: A Meta-Analysis.

    PubMed

    Dick, William R; Fletcher, Emily A; Shah, Sachin A

    2016-06-01

    Diabetes mellitus is a global epidemic and one of the leading causes of morbidity and mortality. Additional medications that are novel, affordable, and efficacious are needed to treat this rampant disease. This meta-analysis was performed to ascertain the effectiveness of oral aloe vera consumption on the reduction of fasting blood glucose (FBG) and hemoglobin A1c (HbA1c). PubMed, CINAHL, Natural Medicines Comprehensive Database, and Natural Standard databases were searched. Studies of aloe vera's effect on FBG, HbA1c, homeostasis model assessment-estimated insulin resistance (HOMA-IR), fasting serum insulin, fructosamine, and oral glucose tolerance test (OGTT) in prediabetic and diabetic populations were examined. After data extraction, the parameters of FBG and HbA1c had appropriate data for meta-analyses. Extracted data were verified and then analyzed by StatsDirect Statistical Software. Reductions of FBG and HbA1c were reported as the weighted mean differences from baseline, calculated by a random-effects model with 95% confidence intervals. Subgroup analyses to determine clinical and statistical heterogeneity were also performed. Publication bias was assessed by using the Egger bias statistic. Nine studies were included in the FBG parameter (n = 283); 5 of these studies included HbA1c data (n = 89). Aloe vera decreased FBG by 46.6 mg/dL (p < 0.0001) and HbA1c by 1.05% (p = 0.004). Significant reductions of both endpoints were maintained in all subgroup analyses. Additionally, the data suggest that patients with an FBG ≥200 mg/dL may see a greater benefit. A mean FBG reduction of 109.9 mg/dL was observed in this population (p ≤ 0.0001). The Egger statistic showed publication bias with FBG but not with HbA1c (p = 0.010 and p = 0.602, respectively). These results support the use of oral aloe vera for significantly reducing FBG (46.6 mg/dL) and HbA1c (1.05%). Further clinical studies that are more robust and better

  4. Detection of Abnormal Glucose Tolerance in Africans Is Improved by Combining A1C With Fasting Glucose: The Africans in America Study

    PubMed Central

    Thoreson, Caroline K.; O'Connor, Michelle Y.; Ricks, Madia; Chung, Stephanie T.; Tulloch-Reid, Marshall K.; Lozier, Jay N.; Sacks, David B.

    2015-01-01

    OBJECTIVE Abnormal glucose tolerance is rising in sub-Saharan Africa. Hemoglobin A1c by itself and in combination with fasting plasma glucose (FPG) is used to diagnose abnormal glucose tolerance. The diagnostic ability of A1C in Africans with heterozygous variant hemoglobin, such as sickle cell trait or hemoglobin C trait, has not been rigorously evaluated. In U.S.-based Africans, we determined by hemoglobin status the sensitivities of 1) FPG ≥5.6 mmol/L, 2) A1C ≥ 5.7% (39 mmol/mol), and 3) FPG combined with A1C (FPG ≥5.6 mmol/L and/or A1C ≥5.7% [39 mmol/mol]) for the detection of abnormal glucose tolerance. RESEARCH DESIGN AND METHODS An oral glucose tolerance test (OGTT) was performed in 216 African immigrants (68% male, age 37 ± 10 years [mean ± SD], range 20–64 years). Abnormal glucose tolerance was defined as 2-h glucose ≥7.8 mmol/L. RESULTS Variant hemoglobin was identified in 21% (46 of 216). Abnormal glucose tolerance occurred in 33% (72 of 216). When determining abnormal glucose tolerance from the OGTT (2-h glucose ≥7.8 mmol/L), sensitivities of FPG for the total, normal, and variant hemoglobin groups were 32%, 32%, and 33%, respectively. Sensitivities for A1C were 53%, 54%, and 47%. For FPG and A1C combined, sensitivities were 64%, 63%, and 67%. Sensitivities for FPG and A1C and the combination did not vary by hemoglobin status (all P > 0.6). For the entire cohort, sensitivity was higher for A1C than FPG and for both tests combined than for either test alone (all P values ≤ 0.01). CONCLUSIONS No significant difference in sensitivity of A1C by variant hemoglobin status was detected. For the diagnosis of abnormal glucose tolerance in Africans, the sensitivity of A1C combined with FPG is significantly superior to either test alone. PMID:25338926

  5. Detection of abnormal glucose tolerance in Africans is improved by combining A1C with fasting glucose: the Africans in America Study.

    PubMed

    Sumner, Anne E; Thoreson, Caroline K; O'Connor, Michelle Y; Ricks, Madia; Chung, Stephanie T; Tulloch-Reid, Marshall K; Lozier, Jay N; Sacks, David B

    2015-02-01

    Abnormal glucose tolerance is rising in sub-Saharan Africa. Hemoglobin A1c by itself and in combination with fasting plasma glucose (FPG) is used to diagnose abnormal glucose tolerance. The diagnostic ability of A1C in Africans with heterozygous variant hemoglobin, such as sickle cell trait or hemoglobin C trait, has not been rigorously evaluated. In U.S.-based Africans, we determined by hemoglobin status the sensitivities of 1) FPG ≥5.6 mmol/L, 2) A1C ≥ 5.7% (39 mmol/mol), and 3) FPG combined with A1C (FPG ≥5.6 mmol/L and/or A1C ≥5.7% [39 mmol/mol]) for the detection of abnormal glucose tolerance. An oral glucose tolerance test (OGTT) was performed in 216 African immigrants (68% male, age 37 ± 10 years [mean ± SD], range 20-64 years). Abnormal glucose tolerance was defined as 2-h glucose ≥7.8 mmol/L. Variant hemoglobin was identified in 21% (46 of 216). Abnormal glucose tolerance occurred in 33% (72 of 216). When determining abnormal glucose tolerance from the OGTT (2-h glucose ≥7.8 mmol/L), sensitivities of FPG for the total, normal, and variant hemoglobin groups were 32%, 32%, and 33%, respectively. Sensitivities for A1C were 53%, 54%, and 47%. For FPG and A1C combined, sensitivities were 64%, 63%, and 67%. Sensitivities for FPG and A1C and the combination did not vary by hemoglobin status (all P > 0.6). For the entire cohort, sensitivity was higher for A1C than FPG and for both tests combined than for either test alone (all P values ≤ 0.01). No significant difference in sensitivity of A1C by variant hemoglobin status was detected. For the diagnosis of abnormal glucose tolerance in Africans, the sensitivity of A1C combined with FPG is significantly superior to either test alone. © 2015 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.

  6. Comparing point-of-care A1C and random plasma glucose for screening diabetes in migrant farm workers.

    PubMed

    Wensil, Ashley M; Smith, Jennifer D; Pound, Melanie W; Herring, Charles

    2013-01-01

    To compare point-of-care (POC) glycosylated hemoglobin (A1C) and random plasma glucose (RPG) as a POC screening tool for prediabetes and diabetes in migrant farm workers of eastern North Carolina. Prospective, observational, single-center study. Federally qualified community health center in eastern North Carolina, from August to October 2011. Migrant farm workers 18 years or older who resided in a migrant camp in eastern North Carolina. Diabetes screening using POC A1C and RPG via fingerstick followed by venipuncture A1C and basic metabolic panel in individuals with a positive screening. Positive predictive value (PPV) of POC A1C and RPG, incidence of positive screening, incidence of confirmed diagnosis, concordance rate of the screening tools, and correlation between POC A1C and laboratory A1C. 206 workers participated in the screenings; screening identified 39 individuals with a POC A1C greater than 5.7% and 1 individual with both an RPG of 200 mg/dL or more and a POC A1C greater than 5.7%. Of the 39 individuals found to have a positive screening, 24 presented to Carolina Family Health Centers, Inc., for follow-up venipuncture; however, 1 participant did not have a venipuncture A1C, leaving 23 individuals with complete data. Two participants were diagnosed with diabetes and 17 with prediabetes. POC A1C had a PPV of 82.6%; however, the PPV of RPG could not be calculated due to the number of participants lost to follow-up. POC A1C correlated well with laboratory A1C regardless of time to follow-up. POC A1C should be considered for diabetes screening in high-risk populations. If the screening had been performed with RPG alone, 38 individuals would have gone undetected. Early identification of individuals with elevated blood glucose will likely decrease the risk of long-term complications.

  7. The relationship of plasma glucose and glycosylated hemoglobin A1C levels among nondiabetic trauma patients.

    PubMed

    Kopelman, Tammy R; O'Neill, Patrick J; Kanneganti, Shalini R; Davis, Karole M; Drachman, David A

    2008-01-01

    : Hyperglycemia (blood glucose >/=110 mg/dL) in trauma patients without a known history of diabetes mellitus (DM) is often attributed to the metabolic stress response of injury. We studied whether this hyperglycemia may actually indicate the presence of occult DM (ODM) as demonstrated by elevated glycosylated hemoglobin A1C (gHbA1C). : After obtaining approval from the Institutional Review Board, a prospective, sequential case series study of nondiabetic adult patients presenting to an urban Level I trauma center from September 2006 to February 2007 was performed. In addition to basic demographics, all hyperglycemic patients had a measured gHbA1C. ODM was diagnosed when gHbA1C was >/=6%. : A total of 1,039 trauma patients were screened with 192 (18%) noted to be hyperglycemic. Of these 192 patients, 22% (n = 42) were found to have an elevated gHbA1C. Using logistic regression, being older (Odds ratio [OR] = 1.04; p < 0.004), having a higher body mass index (BMI) (OR = 1.12; p < 0.003), and being Native American (OR = 5.08; p < 0.017) were each identified as significant risk factors for elevated gHbA1C levels and the diagnosis of ODM. In contrast, the magnitude of observed hyperglycemia, gender, or other races were not shown to be significant risk factors for the presence of ODM. : Almost a quarter of nondiabetic trauma patients presenting with hyperglycemia were found to have elevated gHbA1C levels and ODM. Risk factors for ODM included advancing age and body mass index as well as being Native American. The hyperglycemia seen in trauma patients should not solely be attributed to the hormonal and metabolic response to injury; wider ODM screening for both acute management strategies and long-term health benefits is warranted.

  8. FTO, abdominal adiposity, fasting hyperglycemia associated with elevated HbA1c in Japanese middle-aged women.

    PubMed

    Tanaka, Midori; Yoshida, Toru; Bin, Wu; Fukuo, Keisuke; Kazumi, Tsutomu

    2012-01-01

    FTO is the most important polygene for obesity and type 2 diabetes. Our aims were to investigate whether a variant in FTO affects glucose dysregulation through its effect on fat accumulation or distribution, and when and how FTO influences fat accumulation and distribution and glucose dysregulation from birth until midlife. A total of 454 Japanese female university students (mean age: 20 years) and 132 middle-aged women (mean age: 50 years) who were the biological mothers of the students underwent the following: genotyping for rs1558902 in the FTO gene, assessment of fat accumulation and distribution, obesity-related metabolic traits and serum adipokine measurement. A subsample of 364 students reported their weight history since birth. The A allele in rs1558902 was substantially less common in young and middle-aged Japanese women (18 and 17%, respectively) than in the European population (45%). The strong effect of genotype AA on BMI was evident at age 12, 15, 20 and 50 years whereas there was no effect on birth weight. In young and middle-aged women, the variant was strongly associated with higher body weight and fat mass. The effects on abdominal girth, fasting glucose, homeostasis model assessment insulin resistance and HbA1c were evident in mothers but not in students. In addition, genotype AA was associated with increased white blood cell counts and hsCRP in mothers only. Associations with fasting glucose, insulin resistance, and white blood cell counts remained after correction for BMI, abdominal girth and fat mass. In multiple logistic regression analysis, AA homozygote in FTO was associated with higher odds of overweight (BMI ≥25 kg/m(2)) in young (OR 1.73 (95%CI 1.06-30.0)) and middle-aged women (OR 1.73 (95%CI 1.06-30.0)). It was also associated with higher odds of abdominal fat accumulation (abdominal girth ≥90 cm, OR 1.73 (95%CI 1.06-30.0)) and fasting hyperglycemia (≥100 mg/dL) (OR 1.87(95%CI 1.05-40.4)) in middle-aged mothers. Despite the small

  9. Association of prediabetes by fasting glucose and/or haemoglobin A1c levels with subclinical atherosclerosis and impaired renal function: observations from the Dallas Heart Study.

    PubMed

    Xing, Frank Y F; Neeland, Ian J; Gore, M Odette; Ayers, Colby R; Paixao, Andre R M; Turer, Aslan T; Berry, Jarett D; Khera, Amit; de Lemos, James A; McGuire, Darren K

    2014-01-01

    Prediabetes defined by fasting plasma glucose (FPG) and glycosylated haemoglobin (HbA1c) predicts incident diabetes, but their individual and joint associations with micro- and macro-vascular risk remain poorly defined. FPG, HbA1c, coronary artery calcium (CAC), carotid wall thickness, estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (UACR) were measured in adults free from prior diabetes or cardiovascular disease (CVD) in the Dallas Heart Study 2 (DHS-2), a population-based cohort study. Prediabetes was defined by FPG 100-125 mg/dL and/or HbA1c 5.7%-6.4%. Multivariable logistic regression was used to analyse associations of HbA1c and/or FPG in the prediabetes range with subclinical atherosclerosis and renal measures. The study comprised 2340 participants, median age = 49 years; 60% women and 50% black. Those with prediabetes were older (52 vs 48 years), more often men (63% vs 53%), black (53% vs 47%) and obese (58% vs 40%; p < 0.001 for each). Prediabetes was captured by FPG alone (43%), HbA1c alone (30%) or both (27%). Those with prediabetes by HbA1c or FPG versus normal HbA1c/FPG had more CAC [odds ratio (OR) = 1.8; 95% confidence interval (CI) = 1.5-2.2], higher carotid wall thickness (1.32 vs 1.29 mm, p < 0.001), eGFR < 60 mL/min [OR = 1.6 (95% CI = 1.1-2.4)], UACR > 30 mg/dL [OR = 1.8 (95% CI = 1.2-2.7)] and a higher odds for the composite eGFR + UACR [chronic kidney disease (CKD) ≥ 2] [OR = 1.9 (95% CI = 1.5-2.6)]. After multivariable adjustment, none of these associations remained significant. Prediabetes defined by HbA1c and/or FPG criteria is crudely associated with markers of diabetic macro- and micro-vascular disease, but not after statistical adjustment, suggesting the relationships are attributable to other characteristics of the prediabetes population.

  10. Association of prediabetes, defined by fasting glucose, HbA1c only, or combined criteria, with the risk of cardiovascular disease in Koreans.

    PubMed

    Kim, Hong-Kyu; Lee, Jung Bok; Kim, Seon Ha; Jo, Min-Woo; Kim, Eun Hee; Hwang, Jenie Yoonoo; Bae, Sung Jin; Jung, Chang Hee; Lee, Woo Je; Park, Joong-Yeol; Park, Gyung-Min; Kim, Young-Hak; Choe, Jaewon

    2016-09-01

    The aim of the present study was to compare the association between cardiovascular diseases (CVD) and prediabetes defined by either fasting plasma glucose (FPG), HbA1c, or their combination in a Korean population. In all, 76 434 South Koreans who voluntarily underwent a general health examination in the Health Screening & Promotion Center (Asan Medical Center) were analyzed after excluding patients with a previous history of CVD. Cardiovascular events and death due to CVD during a median follow-up period of 3.1 years (interquartile range 1.9-4.3 years) were identified from the Nationwide Health Insurance Claims Database and death certificates using ICD-10 codes. Age- and sex-adjusted hazard ratios (HRs) for overall CVD events were significantly greater for subjects with prediabetes defined by FPG only (HR 1.19; 95% confidence interval [CI] 1.08-1.31), HbA1c only (HR 1.28; 95% CI 1.16-1.42), and combined criteria (HR 1.20; 95% CI 1.09-1.32) compared with the normoglycemic group. After adjusting for multiple conventional risk factors (e.g. hypertension, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, smoking status, family history of CVD, and BMI), the HRs for overall CVD were significantly increased only for participants with prediabetes defined by HbA1c. Age- and sex-adjusted HRs for major ischemic heart disease events were significantly increased for subjects with prediabetes defined either by HbA1c or combined criteria. Similarly, age- and sex-adjusted HRs for percutaneous coronary intervention were significantly higher for subjects with prediabetes defined by HbA1c only. For diabetes, the multivariate-adjusted HRs for all outcomes were significantly increased by all three criteria. Adding an HbA1c criterion when defining prediabetes in Koreans can help identify individuals with an increased risk of CVD. © 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

  11. Markers of glycemic control in the mouse: comparisons of 6-h- and overnight-fasted blood glucoses to Hb A1c.

    PubMed

    Han, Byoung Geun; Hao, Chuan-Ming; Tchekneva, Elena E; Wang, Ying-Ying; Lee, Chieh Allen; Ebrahim, Benyamin; Harris, Raymond C; Kern, Timothy S; Wasserman, David H; Breyer, Matthew D; Qi, Zhonghua

    2008-10-01

    The present studies examined the relationship between fasting blood glucose and Hb A(1c) in C57BL/6J, DBA/2J, and KK/HlJ mice with and without diabetes mellitus. Daily averaged blood glucose levels based on continuous glucose monitoring and effects of 6-h vs. overnight fasting on blood glucose were determined. Daily averaged blood glucose levels were highly correlated with Hb A(1c), as determined with a hand-held automated device using an immunodetection method. R(2) values were 0.90, 0.95, and 0.99 in KK/HIJ, C57BL/6J, and DBA/2J, respectively. Six-hour fasting blood glucose correlated more closely with the level of daily averaged blood glucose and with Hb A(1c) than did blood glucose following an overnight fast. To validate the immunoassay-determined Hb A(1c), we also measured total glycosylated hemoglobin using boronate HPLC. Hb A(1c) values correlated well with total glycosylated hemoglobin in all three strains but were relatively lower than total glycosylated hemoglobin in diabetic DBA/2J mice. These results show that 6-h fasting glucose provides a superior index of glycemic control and correlates more closely with Hb A(1c) than overnight-fasted blood glucose in these strains of mice.

  12. Screening for dysglycaemia in patients with coronary artery disease as reflected by fasting glucose, oral glucose tolerance test, and HbA1c: a report from EUROASPIRE IV--a survey from the European Society of Cardiology.

    PubMed

    Gyberg, Viveca; De Bacquer, Dirk; Kotseva, Kornelia; De Backer, Guy; Schnell, Oliver; Sundvall, Jouko; Tuomilehto, Jaakko; Wood, David; Rydén, Lars

    2015-05-14

    Three methods are used to identify dysglycaemia: fasting plasma glucose (FPG), 2-h post-load plasma glucose (2hPG) from the oral glucose tolerance test (OGTT), and glycated haemoglobin A1c (HbA1c). The aim was to describe the yield and concordance of FPG, HbA1c, and 2hPG alone, or in combination, to identify dysglycaemia in patients with coronary artery disease. In EUROASPIRE IV, a cross-sectional survey of patients aged 18-80 years with coronary artery disease in 24 European countries, 4004 patients with no reported history of diabetes had FPG, 2hPG, and HbA1c measured. All participants were divided into different glycaemic categories according to the ADA and WHO criteria for dysglycaemia. Using all screening tests together, 1158 (29%) had undetected diabetes. Out of them, the proportion identified by FPG was 75%, by 2hPG 40%, by HbA1c 17%, by FPG + HbA1c 81%, and by OGTT (=FPG + 2hPG) 96%. Only 7% were detected by all three methods FPG, 2hPG, and HbA1c. The ADA criteria (FPG + HbA1c) identified 90% of the population as having dysglycaemia compared with 73% with the WHO criteria (OGTT = FPG + 2hPG). Screening according to the ADA criteria for FPG + HbA1c identified 2643 (66%) as having a 'high risk for diabetes', while the WHO criteria for FPG + 2hPG identified 1829 patients (46%). In patients with established coronary artery disease, the OGTT identifies the largest number of patients with previously undiagnosed diabetes and should be the preferred test when assessing the glycaemic state of such patients. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  13. Physical activity and change in fasting glucose and HbA1c: a quantitative meta-analysis of randomized trials.

    PubMed

    Boniol, Mathieu; Dragomir, Miruna; Autier, Philippe; Boyle, Peter

    2017-08-24

    A systematic review was conducted of randomized trials which evaluated the impact of physical activity on the change in fasting glucose and HbA1c. A literature search was conducted in PubMed until December 2015. Studies reporting glucose or HbA1c at baseline and at the end of study were included, and the change and its variance were estimated from studies with complete data. Mixed-effect random models were used to estimate the change of fasting glucose (mg/dl) and HbA1c (%) per additional minutes of physical activity per week. A total of 125 studies were included in the meta-analysis. Based on 105 studies, an increase of 100 min in physical activity per week was associated with an average change of -2.75 mg/dl of fasting glucose (95% CI -3.96; -1.55), although there was a high degree of heterogeneity (83.5%). When restricting the analysis on type 2 diabetes and prediabetes subjects (56 studies), the average change in fasting glucose was -4.71 mg/dl (95% CI -7.42; -2.01). For HbA1c, among 76 studies included, an increase of 100 min in physical activity per week was associated with an average change of -0.14% of HbA1c (95% CI -0.18; -0.09) with heterogeneity (73%). A large degree of publication bias was identified (Egger test p < 0.001). When restricting the analysis on type 2 diabetes and prediabetes subjects (60 studies), the average change in HbA1c was -0.16% (95% CI -0.21; -0.11). This analysis demonstrates that moderate increases in physical activity are associated with significant reductions in both fasting glucose and HbA1c.

  14. The Effects of Ginger on Fasting Blood Sugar, Hemoglobin A1c, Apolipoprotein B, Apolipoprotein A-I and Malondialdehyde in Type 2 Diabetic Patients

    PubMed Central

    Khandouzi, Nafiseh; Shidfar, Farzad; Rajab, Asadollah; Rahideh, Tayebeh; Hosseini, Payam; Mir Taheri, Mohsen

    2015-01-01

    Diabetes mellitus is the most common endocrine disorder, causes many complications such as micro- and macro-vascular diseases. Anti-diabetic, hypolipidemic and anti-oxidative properties of ginger have been noticed in several researches. The present study was conducted to investigate the effects of ginger on fasting blood sugar, Hemoglobin A1c, apolipoprotein B, apolipoprotein A-I, and malondialdehyde in type 2 diabetic patients. In a randomized, double-blind, placebo-controlled, clinical trial, a total of 41 type 2 diabetic patients randomly were assigned to ginger or placebo groups (22 in ginger group and 19 in control group), received 2 g/day of ginger powder supplement or lactose as placebo for 12 weeks. The serum concentrations of fasting blood sugar, Hemoglobin A1c, apolipoprotein B, apolipoprotein A-I and malondialdehyde were analyzed before and after the intervention. Ginger supplementation significantly reduced the levels of fasting blood sugar, hemoglobin A1c, apolipoprotein B, apolipoprotein B/apolipoprotein A-I and malondialdehyde in ginger group in comparison to baseline, as well as control group, while it increased the level of apolipoprotein A-I (p<0.05). It seems that oral administration of ginger powder supplement can improves fasting blood sugar, hemoglobin A1c, apolipoprotein B, apolipoprotein A-I, apolipoprotein B/apolipoprotein A-I and malondialdehyde in type 2 diabetic patients. So it may have a role in alleviating the risk of some chronic complications of diabetes. PMID:25561919

  15. The effects of ginger on fasting blood sugar, hemoglobin a1c, apolipoprotein B, apolipoprotein a-I and malondialdehyde in type 2 diabetic patients.

    PubMed

    Khandouzi, Nafiseh; Shidfar, Farzad; Rajab, Asadollah; Rahideh, Tayebeh; Hosseini, Payam; Mir Taheri, Mohsen

    2015-01-01

    Diabetes mellitus is the most common endocrine disorder, causes many complications such as micro- and macro-vascular diseases. Anti-diabetic, hypolipidemic and anti-oxidative properties of ginger have been noticed in several researches. The present study was conducted to investigate the effects of ginger on fasting blood sugar, Hemoglobin A1c, apolipoprotein B, apolipoprotein A-I, and malondialdehyde in type 2 diabetic patients. In a randomized, double-blind, placebo-controlled, clinical trial, a total of 41 type 2 diabetic patients randomly were assigned to ginger or placebo groups (22 in ginger group and 19 in control group), received 2 g/day of ginger powder supplement or lactose as placebo for 12 weeks. The serum concentrations of fasting blood sugar, Hemoglobin A1c, apolipoprotein B, apolipoprotein A-I and malondialdehyde were analyzed before and after the intervention. Ginger supplementation significantly reduced the levels of fasting blood sugar, hemoglobin A1c, apolipoprotein B, apolipoprotein B/apolipoprotein A-I and malondialdehyde in ginger group in comparison to baseline, as well as control group, while it increased the level of apolipoprotein A-I (p<0.05). It seems that oral administration of ginger powder supplement can improves fasting blood sugar, hemoglobin A1c, apolipoprotein B, apolipoprotein A-I, apolipoprotein B/apolipoprotein A-I and malondialdehyde in type 2 diabetic patients. So it may have a role in alleviating the risk of some chronic complications of diabetes.

  16. The effect of nano-curcumin on HbA1c, fasting blood glucose, and lipid profile in diabetic subjects: a randomized clinical trial

    PubMed Central

    Rahimi, Hamid Reza; Mohammadpour, Amir Hooshang; Dastani, Mostafa; Jaafari, Mahmoud Reza; Abnous, Khalil; Ghayour Mobarhan, Majid; Kazemi Oskuee, Reza

    2016-01-01

    Objective: Diabetes mellitus is defined as a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both or insulin resistance. Curcumin inhibits NF-κB signaling pathway. The aim of this study is evaluation of the effect of Nano-curcumin on HbA1C, fast blood glucose and lipid profile in diabetic patients. Materials and Methods: Seventy type-2 diabetic patients (fasting blood glucose (FBG) ≥ 126 mg/dL or 2-hr postprandial blood glucose ≥200 mg/dl) randomly receivedeither Curcumin (as nano-micelle 80 mg/day) or placebo for 3 months in a double blind randomized clinical trial. Fasting blood glucose, HbA1C, and lipids profile were checked before and after the intervention. Data analyses, including parametric and nonparametric tests were done using the SPSS 11.5 software. A p value < 0.05 was regarded as statistically significant. (RCT registration code: IRCT2013081114330N1) Results: Mean age, BMI, FBG, total cholesterol (TC), triglyceride (TG), LDL, HDL, HbA1c , and sex and had no significant difference at the baseline between the groups. In Nano-curcumin group, a significant decrease was found in HbA1C, FBG, TG, and BMI comparing results of each subject before and after the treatment (p<0.05). By comparing pre- and post-treatment values among the groups, HbA1c, eAG, LDL-C, and BMI variables showed significant differences (p<0.05). Conclusion: These findings suggest an HbA1c lowering effect for Nano-curcumin in type-2 diabetes; also, it is partially decrease in serum LDL-C and BMI. PMID:27761427

  17. Does glucose variability influence the relationship between mean plasma glucose and HbA1c levels in type 1 and type 2 diabetic patients?

    PubMed

    Kuenen, Judith C; Borg, Rikke; Kuik, Dirk J; Zheng, Hui; Schoenfeld, David; Diamant, Michaela; Nathan, David M; Heine, Robert J

    2011-08-01

    The A1C-Derived Average Glucose (ADAG) study demonstrated a linear relationship between HbA(1c) and mean plasma glucose (MPG). As glucose variability (GV) may contribute to glycation, we examined the association of several glucose variability indices and the MPG-HbA(1c) relationship. Analyses included 268 patients with type 1 diabetes and 159 with type 2 diabetes. MPG during 3 months was calculated from 7-point self-monitored plasma glucose and continuous glucose monitoring. We calculated three different measures of GV and used a multiple-step regression model to determine the contribution of the respective GV measures to the MPG-HbA(1c) relationship. GV, as reflected by SD and continuous overlapping net glycemic action, had a significant effect on the MPG-HbA(1c) relationship in type 1 diabetic patients so that high GV led to a higher HbA(1c) level for the same MPG. In type 1 diabetes, the impact of confounding and effect modification of a low versus high SD at an MPG level of 160 mg/dL on the HbA(1c) level is 7.02 vs. 7.43 and 6.96 vs. 7.41. All GV measures showed the same tendency. In only type 1 diabetic patients, GV shows a significant interaction with MPG in the association with HbA(1c). This effect is more pronounced at higher HbA(1c) levels. However, the impact of GV on the HbA(1c) level in type 1 diabetes is modest, particularly when HbA(1c) is close to the treatment target of 7%.

  18. A1C test

    MedlinePlus

    HbA1C test; Glycated hemoglobin test; Glycohemoglobin test; Hemoglobin A1C; Diabetes - A1C; Diabetic - A1C ... gov/pubmed/26696680 . Chernecky CC, Berger BJ. Glycosylated hemoglobin (GHb, glycohemoglobin, glycated hemoglobin, HbA1a, HbA1b, HbA1c - blood. ...

  19. Fast pulse nonthermal plasma reactor

    DOEpatents

    Rosocha, Louis A.

    2005-06-14

    A fast pulsed nonthermal plasma reactor includes a discharge cell and a charging assembly electrically connected thereto. The charging assembly provides plural high voltage pulses to the discharge cell. Each pulse has a rise time between one and ten nanoseconds and a duration of three to twenty nanoseconds. The pulses create nonthermal plasma discharge within the discharge cell. Accordingly, the nonthermal plasma discharge can be used to remove pollutants from gases or break the gases into smaller molecules so that they can be more efficiently combusted.

  20. A1C Test

    MedlinePlus

    ... AACC products and services. Advertising & Sponsorship: Policy | Opportunities Hemoglobin A1c Share this page: Was this page helpful? Also known as: A1c; HbA1c; Glycohemoglobin; Glycated Hemoglobin; Glycosylated Hemoglobin Formal name: Hemoglobin A1c Related tests: ...

  1. Association of African genetic ancestry with fasting glucose and HbA1c levels in non-diabetic individuals: the Boston Area Community Health (BACH) Prediabetes Study

    PubMed Central

    Grant, Richard W.; Piccolo, Rebecca; López, Lenny; Florez, Jose C.; Porneala, Bianca; Marceau, Lisa; McKinlay, John B.

    2017-01-01

    Aims/hypothesis To test among diabetes-free urban community-dwelling adults the hypothesis that the proportion of African genetic ancestry is positively associated with glycaemia, after accounting for other continental ancestry proportions, BMI and socioeconomic status (SES). Methods The Boston Area Community Health cohort is a multi-stage 1:1:1 stratified random sample of self-identified African-American, Hispanic and white adults from three Boston inner city areas. We measured 62 ancestry informative markers, fasting glucose (FG), HbA1c, BMI and SES (income, education, occupation and insurance status) and analysed 1,387 eligible individuals (379 African-American, 411 Hispanic, 597 white) without clinical or biochemical evidence of diabetes. We used three-heritage multinomial linear regression models to test the association of FG or HbA1c with genetic ancestry proportion adjusted for: (1) age and sex; (2) age, sex and BMI; and (3) age, sex, BMI and SES. Results Mean age- and sex-adjusted FG levels were 5.73 and 5.54 mmol/l among those with 100% African or European ancestry, respectively. Using per cent European ancestry as the referent, each 1% increase in African ancestry proportion was associated with an age- and sex-adjusted FG increase of 0.0019 mmol/l ( p=0.01). In the BMI- and SES-adjusted model the slope was 0.0019 ( p=0.02). Analysis of HbA1c gave similar results. Conclusions/interpretation A greater proportion of African genetic ancestry is independently associated with higher FG levels in a non-diabetic community-based cohort, even accounting for other ancestry proportions, obesity and SES. The results suggest that differences between African-Americans and whites in type 2 diabetes risk may include genetically mediated differences in glucose homeostasis. PMID:24942103

  2. Association of African genetic ancestry with fasting glucose and HbA1c levels in non-diabetic individuals: the Boston Area Community Health (BACH) Prediabetes Study.

    PubMed

    Meigs, James B; Grant, Richard W; Piccolo, Rebecca; López, Lenny; Florez, Jose C; Porneala, Bianca; Marceau, Lisa; McKinlay, John B

    2014-09-01

    To test among diabetes-free urban community-dwelling adults the hypothesis that the proportion of African genetic ancestry is positively associated with glycaemia, after accounting for other continental ancestry proportions, BMI and socioeconomic status (SES). The Boston Area Community Health cohort is a multi-stage 1:1:1 stratified random sample of self-identified African-American, Hispanic and white adults from three Boston inner city areas. We measured 62 ancestry informative markers, fasting glucose (FG), HbA1c, BMI and SES (income, education, occupation and insurance status) and analysed 1,387 eligible individuals (379 African-American, 411 Hispanic, 597 white) without clinical or biochemical evidence of diabetes. We used three-heritage multinomial linear regression models to test the association of FG or HbA1c with genetic ancestry proportion adjusted for: (1) age and sex; (2) age, sex and BMI; and (3) age, sex, BMI and SES. Mean age- and sex-adjusted FG levels were 5.73 and 5.54 mmol/l among those with 100% African or European ancestry, respectively. Using per cent European ancestry as the referent, each 1% increase in African ancestry proportion was associated with an age- and sex-adjusted FG increase of 0.0019 mmol/l (p = 0.01). In the BMI- and SES-adjusted model the slope was 0.0019 (p = 0.02). Analysis of HbA1c gave similar results. A greater proportion of African genetic ancestry is independently associated with higher FG levels in a non-diabetic community-based cohort, even accounting for other ancestry proportions, obesity and SES. The results suggest that differences between African-Americans and whites in type 2 diabetes risk may include genetically mediated differences in glucose homeostasis.

  3. A Mediterranean diet improves HbA1c but not fasting blood glucose compared to alternative dietary strategies: a network meta-analysis.

    PubMed

    Carter, P; Achana, F; Troughton, J; Gray, L J; Khunti, K; Davies, M J

    2014-06-01

    Overweight or obese individuals with type 2 diabetes are encouraged to lose weight for optimal glucose management, yet many find this difficult. Determining whether alterations in dietary patterns irrespective of weight loss can aid glucose control has not been fully investigated. We conducted a systematic review and meta-analysis aiming to determine the effects of a Mediterranean diet compared to other dietary interventions on glycaemic control irrespective of weight loss. Electronic databases were searched for controlled trials that included a Mediterranean diet intervention. The interventions included all major components of the Mediterranean diet and were carried out in free-living individuals at high risk or diagnosed with type 2 diabetes. Network meta-analysis compared all interventions with one another at the same time as maintaining randomisation. Analyses were conducted within a Bayesian framework. Eight studies met the inclusion criteria, seven examined fasting blood glucose (n = 972), six examined fasting insulin (n = 1330) and three examined HbA1c (n = 487). None of the interventions were significantly better than the others in lowering glucose parameters. The Mediterranean diet reduced HbA1c significantly compared to usual care but not compared to the Palaeolithic diet. The effect of alterations in dietary practice irrespective of weight loss on glycaemic control cannot be concluded from the present review. The need for further research in this area is apparent because no firm conclusions about relative effectiveness of interventions could be drawn as a result of the paucity of the evidence. © 2013 The British Dietetic Association Ltd.

  4. Cardiometabolic Risk Profiles in Patients With Impaired Fasting Glucose and/or Hemoglobin A1c 5.7% to 6.4%: Evidence for a Gradient According to Diagnostic Criteria: The PREDAPS Study.

    PubMed

    Giráldez-García, Carolina; Sangrós, F Javier; Díaz-Redondo, Alicia; Franch-Nadal, Josep; Serrano, Rosario; Díez, Javier; Buil-Cosiales, Pilar; García-Soidán, F Javier; Artola, Sara; Ezkurra, Patxi; Carrillo, Lourdes; Millaruelo, J Manuel; Seguí, Mateu; Martínez-Candela, Juan; Muñoz, Pedro; Goday, Albert; Regidor, Enrique

    2015-11-01

    It has been suggested that the early detection of individuals with prediabetes can help prevent cardiovascular diseases. The purpose of the current study was to examine the cardiometabolic risk profile in patients with prediabetes according to fasting plasma glucose (FPG) and/or hemoglobin A1c (HbA1c) criteria.Cross-sectional analysis from the 2022 patients in the Cohort study in Primary Health Care on the Evolution of Patients with Prediabetes (PREDAPS Study) was developed. Four glycemic status groups were defined based on American Diabetes Association criteria. Information about cardiovascular risk factors-body mass index, waist circumference, blood pressure, cholesterol, triglycerides, uric acid, gamma-glutamyltransferase, glomerular filtration-and metabolic syndrome components were analyzed. Mean values of clinical and biochemical characteristics and frequencies of metabolic syndrome were estimated adjusting by age, sex, educational level, and family history of diabetes.A linear trend (P < 0.001) was observed in most of the cardiovascular risk factors and in all components of metabolic syndrome. Normoglycemic individuals had the best values, individuals with both criteria of prediabetes had the worst, and individuals with only one-HbA1c or FPG-criterion had an intermediate position. Metabolic syndrome was present in 15.0% (95% confidence interval: 12.6-17.4), 59.5% (54.0-64.9), 62.0% (56.0-68.0), and 76.2% (72.8-79.6) of individuals classified in normoglycemia, isolated HbA1c, isolated FPG, and both criteria groups, respectively.In conclusion, individuals with prediabetes, especially those with both criteria, have worse cardiometabolic risk profile than normoglycemic individuals. These results suggest the need to use both criteria in the clinical practice to identify those individuals with the highest cardiovascular risk, in order to offer them special attention with intensive lifestyle intervention programs.

  5. Cardiometabolic Risk Profiles in Patients With Impaired Fasting Glucose and/or Hemoglobin A1c 5.7% to 6.4%: Evidence for a Gradient According to Diagnostic Criteria

    PubMed Central

    Giráldez-García, Carolina; Sangrós, F. Javier; Díaz-Redondo, Alicia; Franch-Nadal, Josep; Serrano, Rosario; Díez, Javier; Buil-Cosiales, Pilar; García-Soidán, F. Javier; Artola, Sara; Ezkurra, Patxi; Carrillo, Lourdes; Millaruelo, J. Manuel; Seguí, Mateu; Martínez-Candela, Juan; Muñoz, Pedro; Goday, Albert; Regidor, Enrique

    2015-01-01

    Abstract It has been suggested that the early detection of individuals with prediabetes can help prevent cardiovascular diseases. The purpose of the current study was to examine the cardiometabolic risk profile in patients with prediabetes according to fasting plasma glucose (FPG) and/or hemoglobin A1c (HbA1c) criteria. Cross-sectional analysis from the 2022 patients in the Cohort study in Primary Health Care on the Evolution of Patients with Prediabetes (PREDAPS Study) was developed. Four glycemic status groups were defined based on American Diabetes Association criteria. Information about cardiovascular risk factors–body mass index, waist circumference, blood pressure, cholesterol, triglycerides, uric acid, gamma-glutamyltransferase, glomerular filtration–and metabolic syndrome components were analyzed. Mean values of clinical and biochemical characteristics and frequencies of metabolic syndrome were estimated adjusting by age, sex, educational level, and family history of diabetes. A linear trend (P < 0.001) was observed in most of the cardiovascular risk factors and in all components of metabolic syndrome. Normoglycemic individuals had the best values, individuals with both criteria of prediabetes had the worst, and individuals with only one–HbA1c or FPG–criterion had an intermediate position. Metabolic syndrome was present in 15.0% (95% confidence interval: 12.6–17.4), 59.5% (54.0–64.9), 62.0% (56.0–68.0), and 76.2% (72.8–79.6) of individuals classified in normoglycemia, isolated HbA1c, isolated FPG, and both criteria groups, respectively. In conclusion, individuals with prediabetes, especially those with both criteria, have worse cardiometabolic risk profile than normoglycemic individuals. These results suggest the need to use both criteria in the clinical practice to identify those individuals with the highest cardiovascular risk, in order to offer them special attention with intensive lifestyle intervention programs. PMID:26554799

  6. The association between HbA1c, fasting glucose, 1-hour glucose and 2-hour glucose during an oral glucose tolerance test and cardiovascular disease in individuals with elevated risk for diabetes.

    PubMed

    Lind, Marcus; Tuomilehto, Jaakko; Uusitupa, Matti; Nerman, Olle; Eriksson, Johan; Ilanne-Parikka, Pirjo; Keinänen-Kiukaanniemi, Sirkka; Peltonen, Markku; Pivodic, Aldina; Lindström, Jaana

    2014-01-01

    To determine the association between HbA1c, fasting plasma glucose (FPG), 1-hour (1 hPG) and 2-hour (2 hPG) glucose after an oral glucose tolerance test (OGTT) and cardiovascular disease in individuals with elevated risk for diabetes. We studied the relationship between baseline, updated mean and updated (last) value of HbA1c, FPG, 1 hPG and 2 hPG after an oral 75 g glucose tolerance test (OGTT) and acute CVD events in 504 individuals with impaired glucose tolerance (IGT) at baseline enrolled in the Finnish Diabetes Prevention Study. Follow-up of clinical trial. 504 individuals with IGT were followed with yearly evaluations with OGTT, FPG and HbA1c. Relative risk of CVD. Over a median follow-up of 9.0 years 34 (6.7%) participants had a CVD event, which increased to 52 (10.3%) over a median follow-up of 13.0 years when including events that occurred among participants following a diagnosis of diabetes. Updated mean HbA1c, 1 hPG and 2 hPG, HR per 1 unit SD of 1.57 (95% CI 1.16 to 2.11), p = 0.0032, 1.51 (1.03 to 2.23), p = 0.036 and 1.60 (1.10 to 2.34), p = 0.014, respectively, but not FPG (p = 0.11), were related to CVD. In analyses of the last value prior to the CVD event the same three glycaemic measurements were associated with the CVD events, with HRs per 1 unit SD of 1.45 (1.06 to 1.98), p = 0.020, 1.55 (1.04 to 2.29), p = 0.030 and 2.19 (1.51 to 3.18), p<0.0001, respectively but only 2 hPG remained significant in pairwise comparisons. Including the follow-up period after diabetes onset updated 2 hPG (p = 0.003) but not updated mean HbA1c (p = 0.08) was related to CVD. Current 2 hPG level in people with IGT is associated with increased risk of CVD. This supports its use in screening for prediabetes and monitoring glycaemic levels of people with prediabetes.

  7. A1C

    MedlinePlus

    A1C is a blood test for type 2 diabetes and prediabetes. It measures your average blood glucose, or blood sugar, level over the past 3 ... A1C alone or in combination with other diabetes tests to make a diagnosis. They also use the ...

  8. Hemoglobin A1c in predicting progression to diabetes.

    PubMed

    Nakagami, Tomoko; Tajima, Naoko; Oizumi, Toshihide; Karasawa, Shigeru; Wada, Kiriko; Kameda, Wataru; Susa, Shinji; Kato, Takeo; Daimon, Makoto

    2010-01-01

    The predictive value of hemoglobin A1c (HbA1c) in comparison to fasting plasma glucose (FPG) is evaluated for 5-year incident diabetes (DM), as HbA1c may be more practical than FPG in the screening for DM in the future. Of 1189 non-DM subjects aged 35-89 years old from the Funagata Study, 57 subjects (4.8%) had developed DM on the WHO criteria at 5-year follow-up. The odds ratio (95% confidence interval: CI) for a one standard deviation increase in FPG/HbA1c was 3.40 (2.44-4.74)/3.49 (2.42-5.02). The area under the receiver operating characteristic curve for FPG/HbA1c was 0.786 (95% CI: 0.719-0.853)/0.785 (0.714-0.855). The HbA1c corresponding to FPG 5.56 mmol/l was HbA1c 5.3%. There was no statistical difference in sensitivity between FPG 5.56 mmol/l and HbA1c 5.3% (61.4% vs. 56.1%), while specificity was higher in HbA1c 5.3% than FPG 5.56 mmol/l (87.8% vs. 82.5%, p-value<0.001). The fraction of incident case from those with baseline IGT was similar between the groups, however the fraction of people above the cut-off was significantly lower in HbA1c 5.3% than FPG 5.56 mmol/l (14.3% vs. 19.6%, p-value<0.001). HbA1c is similar to FPG to evaluate DM risk, and HbA1c could be practical and efficient to select subjects for intervention.

  9. Insufficient Sensitivity of Hemoglobin A1C (A1C) Determination in Diagnosis or Screening of Early Diabetic States

    PubMed Central

    Fajans, Stefan S.; Herman, William H.; Oral, Elif A.

    2010-01-01

    An International Expert Committee made recommendations for using the hemoglobin A1C (A1C) assay as the preferred method for diagnosis of diabetes in nonpregnant individuals. A concentration of ≥ 6.5% was considered as diagnostic. It is the aim of this study to compare the sensitivity of A1C with that of plasma glucose concentrations in subjects with early diabetes or IGT. We chose two groups of subjects who had A1C of ≤ 6.4%. The first group of 89 subjects had family histories of diabetes (MODY or T2DM) and had OGTT and A1C determinations. They included 36 subjects with diabetes or IGT and 53 with normal OGTT. The second group of 58 subjects was screened for diabetes in our Diabetes Clinic by FPG or 2HPG or OGTT and A1C and similar comparisons were made. Subjects with diabetes or IGT, including those with fasting hyperglycemia, had A1C ranging from 5.0 – 6.4%, mean 5.8%. The subjects with normal OGTT had A1C of 4.2 – 6.3%, mean 5.4% or 5.5% for the two groups. A1C may be in the normal range in subjects with diabetes or IGT, including those with fasting hyperglycemia. Approximately one third of subjects with early diabetes and IGT have A1C <5.7%, the cut-point that ADA recommends as indicating the onset of risk of developing diabetes in the future. The results of our study are similar to those obtained by a large Dutch epidemiological study. If our aim is to recognize early diabetic states to apply effective prophylactic procedures to prevent or delay progression to more severe diabetes, A1C is not sufficiently sensitive or reliable for diagnosis of diabetes or IGT. A combination of A1C and plasma glucose determinations, where necessary, are recommended for diagnosis or screening of diabetes or IGT. PMID:20723948

  10. The correlation of hemoglobin A1c to blood glucose.

    PubMed

    Sikaris, Ken

    2009-05-01

    The understanding that hemoglobin A1c (HbA1c) represents the average blood glucose level of patients over the previous 120 days underlies the current management of diabetes. Even in making such a statement, we speak of "average blood glucose" as though "blood glucose" were itself a simple idea. When we consider all the blood glucose forms-arterial versus venous versus capillary, whole blood versus serum versus fluoride-preserved plasma, fasting versus nonfasting-we can start to see that this is not a simple issue. Nevertheless, it seems as though HbA1c correlates to any single glucose measurement. Having more than one measurement and taking those measurements in the preceding month improves the correlation further. In particular, by having glucose measurements that reflect both the relatively lower overnight glucose levels and measurements that reflect the postprandial peaks improves not only our ability to manage diabetes patients, but also our understanding of how HbA1c levels are determined. Modern continuous glucose monitoring (CGM) devices may take thousands of glucose results over a week. Several studies have shown that CGM glucose averages account for the vast proportion of the variation of HbA1c. The ability to relate HbA1c to average glucose may become a popular method for reporting HbA1c, eliminating current concerns regarding differences in HbA1c standardization. Hemoglobin A1c expressed as an average glucose may be more understandable to patients and improve not only their understanding, but also their ability to improve their diabetes management. 2009 Diabetes Technology Society.

  11. The Correlation of Hemoglobin A1c to Blood Glucose

    PubMed Central

    Sikaris, Ken

    2009-01-01

    The understanding that hemoglobin A1c (HbA1c) represents the average blood glucose level of patients over the previous 120 days underlies the current management of diabetes. Even in making such a statement, we speak of “average blood glucose” as though “blood glucose” were itself a simple idea. When we consider all the blood glucose forms—arterial versus venous versus capillary, whole blood versus serum versus fluoride-preserved plasma, fasting versus nonfasting—we can start to see that this is not a simple issue. Nevertheless, it seems as though HbA1c correlates to any single glucose measurement. Having more than one measurement and taking those measurements in the preceding month improves the correlation further. In particular, by having glucose measurements that reflect both the relatively lower overnight glucose levels and measurements that reflect the postprandial peaks improves not only our ability to manage diabetes patients, but also our understanding of how HbA1c levels are determined. Modern continuous glucose monitoring (CGM) devices may take thousands of glucose results over a week. Several studies have shown that CGM glucose averages account for the vast proportion of the variation of HbA1c. The ability to relate HbA1c to average glucose may become a popular method for reporting HbA1c, eliminating current concerns regarding differences in HbA1c standardization. Hemoglobin A1c expressed as an average glucose may be more understandable to patients and improve not only their understanding, but also their ability to improve their diabetes management. PMID:20144279

  12. Plasma Acetone Metabolism in the Fasting Human

    PubMed Central

    Reichard, G. A.; Haff, A. C.; Skutches, C. L.; Paul, P.; Holroyde, C. P.; Owen, O. E.

    1979-01-01

    The metabolism of acetone was studied in lean and obese humans during starvation ketosis. Acetone concentrations in plasma, urine, and breath; and rates of endogenous production, elimination in breath and urine, and in vivo metabolism were determined. There was a direct relationship between plasma acetone turnover (20-77 μmol/m2 per min) and concentration (0.19-1.68 mM). Breath and urinary excretion of acetone accounted for a 2-30% of the endogenous production rate, and in vivo metabolism accounted for the remainder. Plasma acetone oxidation accounted for ≅60% of the production rate in 3-d fasted subjects and about 25% of the production rate in 21-d fasted subjects. About 1-2% of the total CO2 production was derived from plasma acetone oxidation and was not related to the plasma concentration or production rate. Radioactivity from [14C]acetone was not detected in plasma free fatty acids, acetoacetate, β-hydroxybutyrate, or other anionic compounds, but was present in plasma glucose, lipids, and proteins. If glucose synthesis from acetone is possible in humans, this process could account for 11% of the glucose production rate and 59% of the acetone production rate in 21-d fasted subjects. During maximum acetonemia, acetone production from acetoacetate could account for 37% of the anticipated acetoacetate production, which implies that a significant fraction of the latter compound does not undergo immediate terminal oxidation. PMID:438326

  13. Impact of corpulence parameters and haemoglobin A1c on metabolic control in type 2 diabetic patients: comparison of apolipoprotein B/A-I ratio with fasting and postprandial conventional lipid ratios

    PubMed Central

    Diaf, Mustapha; Khaled, Boumediene M.; Sellam, Fériel

    2015-01-01

    Background and objective The incidence of diabetes co-morbidities could probably be better assessed by studying its associations with major corpulence parameters and glycaemic control indicators. We assessed the utility of body mass index (BMI), waist circumference (WC), and glycosylated haemoglobin (HbA1c) levels in metabolic control for type 2 diabetic patients. Methods Fasting and postprandial blood samples were collected from 238 type 2 diabetic patients aged 57.4±11.9 years. The sera were analysed for glucose, HbA1c, total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), and apolipoproteins (apoA-I and apoB). Ratios of lipids and apolipoproteins were calculated and their associations with BMI, WC, and HbA1c levels were analysed. Results Our investigation showed increases in most fasting and postprandial lipid parameters according to BMI and WC. In men, postprandial HDL-c and TG levels were significantly higher (p<0.05) in overweight and obese patients, respectively, as well as in patients with abdominal obesity. Contrariwise, postprandial TC levels were significantly higher (p<0.01) in overweight and abdominal obese women. However, elevations of apoA-I and apoB levels were according to BMI and WC in both genders. There was a strong influence of BMI, WC, and HbA1c levels on the apoB/apoA-I ratio compared to traditional fasting and postprandial lipid ratios in both men and women. The apoB/apoA-I ratio was more correlated with postprandial TC/HDL and LDL-c/HDL-c ratios in men and with postprandial TG/HDL-c in women. Conclusion The apoB/apoA-I ratio is helpful in assessing metabolic risk caused by overall obesity, abdominal obesity and impaired glycaemia in type 2 diabetic patients. PMID:25959906

  14. The difference between oats and beta-glucan extract intake in the management of HbA1c, fasting glucose and insulin sensitivity: a meta-analysis of randomized controlled trials.

    PubMed

    He, Li-xia; Zhao, Jian; Huang, Yuan-sheng; Li, Yong

    2016-03-01

    Increasing oats and beta-glucan extract intake has been associated with improved glycemic control, which is associated with the reduction in the development of diabetes. This study aims to assess the different effects between oat (whole and bran) and beta-glucan extract intake on glycemic control and insulin sensitivity. PubMed, Embase, Medline, The Cochrane Library, CINAHL and Web of Science were searched up to February 2014. We included randomized controlled trials with interventions that lasted at least four weeks that compared oats and beta-glucan (extracted from oats or other sources) intake with a control. A total of 1351 articles were screened for eligibility, and relevant data were extracted from 18 studies (n = 1024). Oat product dose ranged from 20 g d(-1) to 136 g d(-1), and beta-glucan extract dose ranged from 3 g d(-1) to 10 g d(-1). Compared with the control, oat intake resulted in a greater decrease in fasting glucose and insulin of subjects (P < 0.05), but beta-glucan extract intake did not. Furthermore, oat intake resulted in a greater decrease in glycosylated hemoglobin (HbA1c) (P < 0.001, I(2) = 0%) and fasting glucose (P < 0.001, I(2) = 68%) after removing one study using a concentrate and a different design and fasting insulin of type 2 diabetes (T2D) (P < 0.001, I(2) = 0%). The intake of oats and beta-glucan extracted from oats were effective in decreasing fasting glucose (P = 0.007, I(2) = 91%) and fasting insulin of T2D (P < 0.001, I(2) = 0%) and tented to lower HbA1c (P = 0.09, I(2) = 92%). Higher consumption of whole oats and oat bran, but not oat or barley beta-glucan extracts, are associated with lower HbA1c, fasting glucose and fasting insulin of T2D, hyperlipidaemic and overweight subjects, especially people with T2D, which supports the need for clinical trials to evaluate the potential role of oats in approaching to the management of glycemic control and insulin sensitivity of diabetes or metabolic syndrome subjects.

  15. Fast wave evanescence in filamentary boundary plasmas

    SciTech Connect

    Myra, J. R.

    2014-02-15

    Radio frequency waves for heating and current drive of plasmas in tokamaks and other magnetic confinement devices must first traverse the scrape-off-layer (SOL) before they can be put to their intended use. The SOL plasma is strongly turbulent and intermittent in space and time. These turbulent properties of the SOL, which are not routinely taken into account in wave propagation codes, can have an important effect on the coupling of waves through an evanescent SOL or edge plasma region. The effective scale length for fast wave (FW) evanescence in the presence of short-scale field-aligned filamentary plasma turbulence is addressed in this paper. It is shown that although the FW wavelength or evanescent scale length is long compared with the dimensions of the turbulence, the FW does not simply average over the turbulent density; rather, the average is over the exponentiation rate. Implications for practical situations are discussed.

  16. Relationship between Hb and HbA1c in Japanese adults: an analysis of the 2009 Japan Society of Ningen Dock database.

    PubMed

    Takahashi, Eiko; Moriyama, Kengo; Yamakado, Minoru

    2014-06-01

    We investigated the effect of Hb on HbA1c levels in 265,427 Japanese individuals. The divergence between fasting plasma glucose (FPG) and HbA1c levels increased with lower Hb, resulting in HbA1c levels that were higher in relation to than the FPG levels. Similarly, the correlation between FPG and HbA1c levels, stratified by Hb, weakened as Hb decreased. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  17. Fast ion beam-plasma interaction system.

    PubMed

    Breun, R A; Ferron, J R

    1979-07-01

    A device has been constructed for the study of the interaction between a fast ion beam and a target plasma of separately controllable parameters. The beam of either hydrogen or helium ions has an energy of 1-4 keV and a total current of 0.5-2 A. The beam energy and beam current can be varied separately. The ion source plasma is created by a pulsed (0.2-10-ms pulse length) discharge in neutral gas at up to 3 x 10(-3) Torr. The neutrals are pulsed into the source chamber, allowing the neutral pressure in the target region to remain less than 5 x 10(-5) Torr at a 2-Hz repetition rate. The creation of the source plasma can be described by a simple set of equations which predict optimum source design parameters. The target plasma is also produced by a pulsed discharge. Between the target and source chambers the beam is neutralized by electrons drawn from a set of hot filaments. Currently under study is an unstable wave in a field-free plasma excited when the beam velocity is nearly equal to the target electron thermal velocity (v(beam) approximately 3.5 x 10(7) cm/s, Te = 0.5 eV).

  18. Laser–plasma interactions for fast ignition

    SciTech Connect

    Kemp, A. J.; Fiuza, F.; Debayle, A.; Johzaki, T.; Mori, W. B.; Patel, P. K.; Sentoku, Y.; Silva, L. O.

    2014-04-17

    In the electron-driven fast-ignition approach to inertial confinement fusion, petawatt laser pulses are required to generate MeV electrons that deposit several tens of kilojoules in the compressed core of an imploded DT shell. We review recent progress in the understanding of intense laser- plasma interactions (LPI) relevant to fast ignition. Increases in computational and modeling capabilities, as well as algorithmic developments have led to enhancement in our ability to perform multidimensional particle-in-cell (PIC) simulations of LPI at relevant scales. We discuss the physics of the interaction in terms of laser absorption fraction, the laser-generated electron spectra, divergence, and their temporal evolution. Scaling with irradiation conditions such as laser intensity, f-number and wavelength are considered, as well as the dependence on plasma parameters. Different numerical modeling approaches and configurations are addressed, providing an overview of the modeling capabilities and limitations. In addition, we discuss the comparison of simulation results with experimental observables. In particular, we address the question of surrogacy of today's experiments for the full-scale fast ignition problem.

  19. Laser–plasma interactions for fast ignition

    DOE PAGES

    Kemp, A. J.; Fiuza, F.; Debayle, A.; ...

    2014-04-17

    In the electron-driven fast-ignition approach to inertial confinement fusion, petawatt laser pulses are required to generate MeV electrons that deposit several tens of kilojoules in the compressed core of an imploded DT shell. We review recent progress in the understanding of intense laser- plasma interactions (LPI) relevant to fast ignition. Increases in computational and modeling capabilities, as well as algorithmic developments have led to enhancement in our ability to perform multidimensional particle-in-cell (PIC) simulations of LPI at relevant scales. We discuss the physics of the interaction in terms of laser absorption fraction, the laser-generated electron spectra, divergence, and their temporalmore » evolution. Scaling with irradiation conditions such as laser intensity, f-number and wavelength are considered, as well as the dependence on plasma parameters. Different numerical modeling approaches and configurations are addressed, providing an overview of the modeling capabilities and limitations. In addition, we discuss the comparison of simulation results with experimental observables. In particular, we address the question of surrogacy of today's experiments for the full-scale fast ignition problem.« less

  20. Evaluation of Hemoglobin A1c Criteria to Assess Preoperative Diabetes Risk in Cardiac Surgery Patients

    PubMed Central

    Saberi, Sima; Zrull, Christina A.; Patil, Preethi V.; Jha, Leena; Kling-Colson, Susan C.; Gandia, Kenia G.; DuBois, Elizabeth C.; Plunkett, Cynthia D.; Bodnar, Tim W.; Pop-Busui, Rodica

    2011-01-01

    Abstract Objective Hemoglobin A1c (A1C) has recently been recommended for diagnosing diabetes mellitus and diabetes risk (prediabetes). Its performance compared with fasting plasma glucose (FPG) and 2-h post-glucose load (2HPG) is not well delineated. We compared the performance of A1C with that of FPG and 2HPG in preoperative cardiac surgery patients. Methods Data from 92 patients without a history of diabetes were analyzed. Patients were classified with diabetes or prediabetes using established cutoffs for FPG, 2HPG, and A1C. Sensitivity and specificity of the new A1C criteria were evaluated. Results All patients diagnosed with diabetes by A1C also had impaired fasting glucose, impaired glucose tolerance, or diabetes by other criteria. Using FPG as the reference, sensitivity and specificity of A1C for diagnosing diabetes were 50% and 96%, and using 2HPG as the reference they were 25% and 95%. Sensitivity and specificity for identifying prediabetes with FPG as the reference were 51% and 51%, respectively, and with 2HPG were 53% and 51%, respectively. One-third each of patients with prediabetes was identified using FPG, A1C, or both. When testing A1C and FPG concurrently, the sensitivity of diagnosing dysglycemia increased to 93% stipulating one or both tests are abnormal; specificity increased to 100% if both tests were required to be abnormal. Conclusions In patients before cardiac surgery, A1C criteria identified the largest number of patients with diabetes and prediabetes. For diagnosing prediabetes, A1C and FPG were discordant and characterized different groups of patients, therefore altering the distribution of diabetes risk. Simultaneous measurement of FGP and A1C may be a more sensitive and specific tool for identifying high-risk individuals with diabetes and prediabetes. PMID:21854260

  1. Use of hemoglobin A1C to detect Haitian-Americans with undiagnosed Type 2 diabetes.

    PubMed

    Exebio, Joel C; Zarini, Gustavo G; Vaccaro, Joan A; Exebio, Cristobal; Huffman, Fatma G

    2012-10-01

    To evaluate the validity of hemoglobin A1C (A1C) as a diagnostic tool for type 2 diabetes and to determine the most appropriate A1C cutoff point for diagnosis in a sample of Haitian-Americans. Subjects (n = 128) were recruited from Miami-Dade and Broward counties, FL. Receiver operating characteristics (ROC) analysis was run in order to measure sensitivity and specificity of A1C for detecting diabetes at different cutoff points. The area under the ROC curve was 0.86 using fasting plasma glucose ≥ 7.0 mmol/L as the gold standard. An A1C cutoff point of 6.26% had sensitivity of 80% and specificity of 74%, whereas an A1C cutoff point of 6.50% (recommended by the American Diabetes Association - ADA) had sensitivity of 73% and specificity of 89%. A1C is a reliable alternative to fasting plasma glucose in detecting diabetes in this sample of Haitian-Americans. A cutoff point of 6.26% was the optimum value to detect type 2 diabetes.

  2. Fast temperature relaxation model in dense plasmas

    NASA Astrophysics Data System (ADS)

    Faussurier, Gérald; Blancard, Christophe

    2017-01-01

    We present a fast model to calculate the temperature-relaxation rates in dense plasmas. The electron-ion interaction-potential is calculated by combining a Yukawa approach and a finite-temperature Thomas-Fermi model. We include the internal energy as well as the excess energy of ions using the QEOS model. Comparisons with molecular dynamics simulations and calculations based on an average-atom model are presented. This approach allows the study of the temperature relaxation in a two-temperature electron-ion system in warm and hot dense matter.

  3. Is There a Role for HbA1c in Pregnancy?

    PubMed

    Hughes, Ruth C E; Rowan, Janet; Florkowski, Chris M

    2016-01-01

    Outside pregnancy, HbA1c analysis is used for monitoring, screening for and diagnosing diabetes and prediabetes. During pregnancy, the role for HbA1c analysis is not yet established. Physiological changes lower HbA1c levels, and pregnancy-specific reference ranges may need to be recognised. Other factors that influence HbA1c are also important to consider, particularly since emerging data suggest that, in early pregnancy, HbA1c elevations close to the reference range may both identify women with underlying hyperglycaemia and be associated with adverse pregnancy outcomes. In later pregnancy, HbA1c analysis is less useful than an oral glucose tolerance test (OGTT) at detecting gestational diabetes. Postpartum, HbA1c analysis detects fewer women with abnormal glucose tolerance than an OGTT, but the ease of testing may improve follow-up rates and combining HbA1c analysis with fasting plasma glucose or waist circumference may improve detection rates. This article discusses the relevance of HbA1c testing at different stages of pregnancy.

  4. Misled by the Morning "Fasting" Plasma Glucose.

    PubMed

    King, Allen B

    2015-05-13

    Because of its ease and simplicity of its measurement, the morning fasting plasma glucose (FPG), has been as used a surrogate marker for the entire basal day when titrating once-nightly basal insulin. Common in obese insulin-treated patients with type 2 diabetes, late and large evening meals elevate the FPG. This has led to dosing of basal insulin well beyond the basal requirements and contributes to hypoglycemia and weight gain seen with this therapy. It is recommended that during basal insulin titration, the evening meal be limited and hypoglycemia be monitored early in the morning, that bewitching time when the "peakless" basal insulin's action is peaking and the predawn phenomenon insulin sensitivity is higher. © 2015 Diabetes Technology Society.

  5. Citrate in plasma and urine during total fasting.

    PubMed

    Nielsen, T T; Sørensen, N S

    1979-01-01

    Plasma citrate was determined in 12 obese subjects who underwent total fasting for 10 days. Mean plasma citrate concentration rose significantly from 128 before to 205 micro mol/1 on the 10th day of fasting. Plasma citrate rose continuously during fasting in seven subjects in whom daily determinations were carried out. The 24-hour urinary citrate excretion was followed in six subjects. A significant decrease was found from 2.91 mmol/24 h in the prefasting state to 0.25 mmol/24 h at the end of the fast. Intravenous glucose tolerance test were performed before and on the 10th day of fasting. Kivgtt decreased significantly and was inversely related to plasma citrate concentration on the 10th day of fasting. The results agree well with the concept that an increased citrate level of tissues is of regulatory importance for the decreased glucose utilization during fasting in man.

  6. Fast Camera Movies of NSTX Plasmas

    DOE Data Explorer

    Maqueda, Ricky; Wurden, Glenn

    The National Spherical Torus Experiment (NSTX) is an innovative magnetic fusion device that is being used to study the physics principles of spherically shaped plasmas -- hot ionized gases in which nuclear fusion will occur under the appropriate conditions of temperature, density, and confinement in a magnetic field. Fusion is the energy source of the Sun and all the stars. Scientists believe it can provide an inexhaustible, safe, and environmentally attractive source. NSTX was constructed by the Princeton Plasma Physics Laboratory (PPPL) in conjunction with Oak Ridge National Laboratory, Columbia University, and the University of Washington Seattle. The original TIF images recorded by the KODAK digital camera (i.e., "raw data") are available, using the contact information given on the same web page that provides access to these fast camera movies. MPEG clips are organized under the following headings: • Gas Puff Imaging (GPI) diagnostic • GPI experiments • H-modes (longer) • H-modes (short) • Coaxial Helicity Injection experiments More than 100 MPEGS dating back to 1999 are available for public access.

  7. Laser-plasma interactions for fast ignition

    NASA Astrophysics Data System (ADS)

    Kemp, A. J.; Fiuza, F.; Debayle, A.; Johzaki, T.; Mori, W. B.; Patel, P. K.; Sentoku, Y.; Silva, L. O.

    2014-05-01

    In the electron-driven fast-ignition (FI) approach to inertial confinement fusion, petawatt laser pulses are required to generate MeV electrons that deposit several tens of kilojoules in the compressed core of an imploded DT shell. We review recent progress in the understanding of intense laser-plasma interactions (LPI) relevant to FI. Increases in computational and modelling capabilities, as well as algorithmic developments have led to enhancement in our ability to perform multi-dimensional particle-in-cell simulations of LPI at relevant scales. We discuss the physics of the interaction in terms of laser absorption fraction, the laser-generated electron spectra, divergence, and their temporal evolution. Scaling with irradiation conditions such as laser intensity are considered, as well as the dependence on plasma parameters. Different numerical modelling approaches and configurations are addressed, providing an overview of the modelling capabilities and limitations. In addition, we discuss the comparison of simulation results with experimental observables. In particular, we address the question of surrogacy of today's experiments for the full-scale FI problem.

  8. Fast Plasma Investigation for Magnetospheric Multiscale

    NASA Technical Reports Server (NTRS)

    Pollock, C.; Moore, T.; Coffey, V.; Dorelli J.; Giles, B.; Adrian, M.; Chandler, M.; Duncan, C.; Figueroa-Vinas, A.; Garcia, K.; hide

    2016-01-01

    The Fast Plasma Investigation (FPI) was developed for flight on the Magnetospheric Multiscale (MMS) mission to measure the differential directional flux of magnetospheric electrons and ions with unprecedented time resolution to resolve kinetic-scale plasma dynamics. This increased resolution has been accomplished by placing four dual 180-degree top hat spectrometers for electrons and four dual 180-degree top hat spectrometers for ions around the periphery of each of four MMS spacecraft. Using electrostatic field-of-view deflection, the eight spectrometers for each species together provide 4pi-sr-field-of-view with, at worst, 11.25-degree sample spacing. Energy/charge sampling is provided by swept electrostatic energy/charge selection over the range from 10 eVq to 30000 eVq. The eight dual spectrometers on each spacecraft are controlled and interrogated by a single block redundant Instrument Data Processing Unit, which in turn interfaces to the observatory's Instrument Suite Central Instrument Data processor. This paper described the design of FPI, its ground and in-flight calibration, its operational concept, and its data products.

  9. Fast Plasma Investigation for Magnetospheric Multiscale

    NASA Astrophysics Data System (ADS)

    Pollock, C.; Moore, T.; Jacques, A.; Burch, J.; Gliese, U.; Saito, Y.; Omoto, T.; Avanov, L.; Barrie, A.; Coffey, V.; Dorelli, J.; Gershman, D.; Giles, B.; Rosnack, T.; Salo, C.; Yokota, S.; Adrian, M.; Aoustin, C.; Auletti, C.; Aung, S.; Bigio, V.; Cao, N.; Chandler, M.; Chornay, D.; Christian, K.; Clark, G.; Collinson, G.; Corris, T.; De Los Santos, A.; Devlin, R.; Diaz, T.; Dickerson, T.; Dickson, C.; Diekmann, A.; Diggs, F.; Duncan, C.; Figueroa-Vinas, A.; Firman, C.; Freeman, M.; Galassi, N.; Garcia, K.; Goodhart, G.; Guererro, D.; Hageman, J.; Hanley, J.; Hemminger, E.; Holland, M.; Hutchins, M.; James, T.; Jones, W.; Kreisler, S.; Kujawski, J.; Lavu, V.; Lobell, J.; LeCompte, E.; Lukemire, A.; MacDonald, E.; Mariano, A.; Mukai, T.; Narayanan, K.; Nguyan, Q.; Onizuka, M.; Paterson, W.; Persyn, S.; Piepgrass, B.; Cheney, F.; Rager, A.; Raghuram, T.; Ramil, A.; Reichenthal, L.; Rodriguez, H.; Rouzaud, J.; Rucker, A.; Saito, Y.; Samara, M.; Sauvaud, J.-A.; Schuster, D.; Shappirio, M.; Shelton, K.; Sher, D.; Smith, D.; Smith, K.; Smith, S.; Steinfeld, D.; Szymkiewicz, R.; Tanimoto, K.; Taylor, J.; Tucker, C.; Tull, K.; Uhl, A.; Vloet, J.; Walpole, P.; Weidner, S.; White, D.; Winkert, G.; Yeh, P.-S.; Zeuch, M.

    2016-03-01

    The Fast Plasma Investigation (FPI) was developed for flight on the Magnetospheric Multiscale (MMS) mission to measure the differential directional flux of magnetospheric electrons and ions with unprecedented time resolution to resolve kinetic-scale plasma dynamics. This increased resolution has been accomplished by placing four dual 180-degree top hat spectrometers for electrons and four dual 180-degree top hat spectrometers for ions around the periphery of each of four MMS spacecraft. Using electrostatic field-of-view deflection, the eight spectrometers for each species together provide 4pi-sr field-of-view with, at worst, 11.25-degree sample spacing. Energy/charge sampling is provided by swept electrostatic energy/charge selection over the range from 10 eV/q to 30000 eV/q. The eight dual spectrometers on each spacecraft are controlled and interrogated by a single block redundant Instrument Data Processing Unit, which in turn interfaces to the observatory's Instrument Suite Central Instrument Data Processor. This paper describes the design of FPI, its ground and in-flight calibration, its operational concept, and its data products.

  10. Sex and age affect agreement between fasting plasma glucose and glycosylated hemoglobin for diagnosis of dysglycemia.

    PubMed

    Lorenzo-Medina, Mercedes; Uranga, Begoña; Rus, Antonio; Martínez, Rosa; Puertas, Carolina; Blanco, María Dolores; Casís, Ernesto; Corcoy, Rosa

    To assess agreement between fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) levels for diagnosis of dysglycemia (diabetes and risk of diabetes), overall and depending on clinical characteristics. The study enrolled 1020 adult subjects without drug-treated diabetes who underwent a laboratory test at a Spanish health care center. The criteria for dysglycemia of the American Diabetes Association were used. A logistic regression analysis was used to predict de novo diagnosis of dysglycemia based on sex, age, body mass index, anemia, and iron levels. Overall prevalence of dysglycemia was 28.04%, and was identified by FPG only in 13.63% of subjects, by both FPG and HbA1c in 7.65%, and by HbA1c only in 6.76% (de novo diagnoses). Independent predictors of de novo diagnoses based on HbA1c were female sex (odds ratio [OR]: 2.119, 95% confidence interval [CI]: 1.133-4.020; p<0.020), age (OR for 42-56 years: 2.541, 95% CI: 0.634-17.140; OR for ≥57 years: 5.656, 95% CI: 1.516-36.980; overall p<0.007), and serum ferritin levels (borderline significance). In this study population, agreement between FPG and HbA1c for diagnosis of dysglycemia was poor, with FPG being the test that identified more subjects. De novo diagnoses based on HbA1c were more common in females and increased with age. Copyright © 2017 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Fast Plasma Instrument for MMS: Simulation Results

    NASA Technical Reports Server (NTRS)

    Figueroa-Vinas, Adolfo; Adrian, Mark L.; Lobell, James V.; Simpson, David G.; Barrie, Alex; Winkert, George E.; Yeh, Pen-Shu; Moore, Thomas E.

    2008-01-01

    Magnetospheric Multiscale (MMS) mission will study small-scale reconnection structures and their rapid motions from closely spaced platforms using instruments capable of high angular, energy, and time resolution measurements. The Dual Electron Spectrometer (DES) of the Fast Plasma Instrument (FPI) for MMS meets these demanding requirements by acquiring the electron velocity distribution functions (VDFs) for the full sky with high-resolution angular measurements every 30 ms. This will provide unprecedented access to electron scale dynamics within the reconnection diffusion region. The DES consists of eight half-top-hat energy analyzers. Each analyzer has a 6 deg. x 11.25 deg. Full-sky coverage is achieved by electrostatically stepping the FOV of each of the eight sensors through four discrete deflection look directions. Data compression and burst memory management will provide approximately 30 minutes of high time resolution data during each orbit of the four MMS spacecraft. Each spacecraft will intelligently downlink the data sequences that contain the greatest amount of temporal structure. Here we present the results of a simulation of the DES analyzer measurements, data compression and decompression, as well as ground-based analysis using as a seed re-processed Cluster/PEACE electron measurements. The Cluster/PEACE electron measurements have been reprocessed through virtual DES analyzers with their proper geometrical, energy, and timing scale factors and re-mapped via interpolation to the DES angular and energy phase-space sampling measurements. The results of the simulated DES measurements are analyzed and the full moments of the simulated VDFs are compared with those obtained from the Cluster/PEACE spectrometer using a standard quadrature moment, a newly implemented spectral spherical harmonic method, and a singular value decomposition method. Our preliminary moment calculations show a remarkable agreement within the uncertainties of the measurements, with the

  12. Fast Plasma Instrument for MMS: Simulation Results

    NASA Technical Reports Server (NTRS)

    Figueroa-Vinas, Adolfo; Adrian, Mark L.; Lobell, James V.; Simpson, David G.; Barrie, Alex; Winkert, George E.; Yeh, Pen-Shu; Moore, Thomas E.

    2008-01-01

    Magnetospheric Multiscale (MMS) mission will study small-scale reconnection structures and their rapid motions from closely spaced platforms using instruments capable of high angular, energy, and time resolution measurements. The Dual Electron Spectrometer (DES) of the Fast Plasma Instrument (FPI) for MMS meets these demanding requirements by acquiring the electron velocity distribution functions (VDFs) for the full sky with high-resolution angular measurements every 30 ms. This will provide unprecedented access to electron scale dynamics within the reconnection diffusion region. The DES consists of eight half-top-hat energy analyzers. Each analyzer has a 6 deg. x 11.25 deg. Full-sky coverage is achieved by electrostatically stepping the FOV of each of the eight sensors through four discrete deflection look directions. Data compression and burst memory management will provide approximately 30 minutes of high time resolution data during each orbit of the four MMS spacecraft. Each spacecraft will intelligently downlink the data sequences that contain the greatest amount of temporal structure. Here we present the results of a simulation of the DES analyzer measurements, data compression and decompression, as well as ground-based analysis using as a seed re-processed Cluster/PEACE electron measurements. The Cluster/PEACE electron measurements have been reprocessed through virtual DES analyzers with their proper geometrical, energy, and timing scale factors and re-mapped via interpolation to the DES angular and energy phase-space sampling measurements. The results of the simulated DES measurements are analyzed and the full moments of the simulated VDFs are compared with those obtained from the Cluster/PEACE spectrometer using a standard quadrature moment, a newly implemented spectral spherical harmonic method, and a singular value decomposition method. Our preliminary moment calculations show a remarkable agreement within the uncertainties of the measurements, with the

  13. Effects of Hemoglobin Variants on Hemoglobin A1c Values Measured Using a High-Performance Liquid Chromatography Method

    PubMed Central

    De-La-Iglesia, Silvia; Ropero, Paloma; Nogueira-Salgueiro, Patricia; Santana-Benitez, Jesus

    2014-01-01

    Hemoglobin A1c (HbA1c) is routinely used to monitor long-term glycemic control and for diagnosing diabetes mellitus. However, hemoglobin (Hb) gene variants/modifications can affect the accuracy of some methods. The potential effect of Hb variants on HbA1c measurements was investigated using a high-performance liquid chromatography (HPLC) method compared with an immunoturbimetric assay. Fasting plasma glucose (FPG) and HbA1c levels were measured in 42 371 blood samples. Samples producing abnormal chromatograms were further analyzed to characterize any Hb variants. Fructosamine levels were determined in place of HbA1c levels when unstable Hb variants were identified. Abnormal HPLC chromatograms were obtained for 160 of 42 371 samples. In 26 samples HbS was identified and HbA1c results correlated with FPG. In the remaining 134 samples HbD, Hb Louisville, Hb Las Palmas, Hb N-Baltimore, or Hb Porto Alegre were identified and HbA1c did not correlate with FPG. These samples were retested using an immunoturbidimetric assay and the majority of results were accurate; only 3 (with the unstable Hb Louisville trait) gave aberrant HbA1c results. Hb variants can affect determination of HbA1c levels with some methods. Laboratories should be aware of Hb variants occurring locally and choose an appropriate HbA1c testing method. PMID:25355712

  14. A1C Test and Diabetes

    MedlinePlus

    ... Diagnosis The A1C Test & Diabetes The A1C Test & Diabetes What is the A1C test? The A1C test ... A1C test be used to diagnose type 2 diabetes and prediabetes? Yes. In 2009, an international expert ...

  15. Blood Test: Hemoglobin A1C

    MedlinePlus

    ... TV, Video Games, and the Internet Blood Test: Hemoglobin A1c KidsHealth > For Parents > Blood Test: Hemoglobin A1c Print A A A What's in this ... de sangre: hemoglobina A1c What It Is A hemoglobin A1c (HbA1c) test is used to monitor long- ...

  16. Blood Test: Hemoglobin A1C

    MedlinePlus

    ... Your 1- to 2-Year-Old Blood Test: Hemoglobin A1c KidsHealth > For Parents > Blood Test: Hemoglobin A1c A A A What's in this article? ... de sangre: hemoglobina A1c What It Is A hemoglobin A1c (HbA1c) test is used to monitor long- ...

  17. Ethnic disparity in hemoglobin A1c levels among normoglycemic offspring of parents with type 2 diabetes mellitus.

    PubMed

    Chapp-Jumbo, Emmanuel; Edeoga, Chimaroke; Wan, Jim; Dagogo-Jack, Samuel

    2012-01-01

    To investigate the racial/ethnic disparities in hemoglobin A1c levels among nondiabetic persons with similar parental history of type 2 diabetes mellitus. We studied a community-based sample of adult offspring of parents with type 2 diabetes mellitus. Measurements included anthropometry, hematology assessments, serial fasting plasma glucose, oral glucose tolerance testing, plasma insulin, hemoglobin A1c, insulin sensitivity, and β-cell function, using a homeostasis model assessment. The study included 302 participants (135 white, 167 black). Compared with white participants, black participants had lower fasting plasma glucose levels (91.9 ± 0.51 mg/dL vs 93.6 ± 0.50 mg/dL, P = .015), lower area under the curve of plasma glucose during oral glucose tolerance testing (P = <.001), higher body mass index (31.1 ± 0.61 kg/m² vs 28.5 ± 0.57 kg/m², P = <.001), and similar insulin sensitivity and β-cell function. Hemoglobin A1c was higher in black participants than in white participants (5.68 ± 0.033% vs 5.45 ± 0.028%, P<.001). The absolute black-white difference in hemoglobin A1c level of approximately 0.22% persisted after adjusting for age, hemoglobin, hematocrit, body mass index, waist circumference, fasting plasma glucose, glucose area under the curve, and other covariates. Among healthy offspring of parents with type 2 diabetes mellitus in this study, African American participants had higher hemoglobin A1c levels than white participants after adjusting for age, adiposity, blood glucose, and known variables. Thus, plasma glucose level is more valid than hemoglobin A1c for diagnosing prediabetes or diabetes in black persons.

  18. Fast photography of plasma formed by laser ablation of aluminum

    NASA Astrophysics Data System (ADS)

    Nedanovska, E.; Ivkovic, M.

    2008-07-01

    In this paper we present results of the temporal and spatial analysis of laser induced plasma performed by use of ICCD fast photography. The plasma is formed by excimer laser ablation of aluminum target in vacuum, air or different pressures of argon and helium. It is shown how the plasma luminous intensity and duration depends on gas pressure. The obtained time dependence of wave propagation distance is also compared with predictions given by the blast wave and drag-force theory also.

  19. Association of Genomic Instability with HbA1c levels and Medication in Diabetic Patients

    PubMed Central

    Grindel, Annemarie; Brath, Helmut; Nersesyan, Armen; Knasmueller, Siegfried; Wagner, Karl-Heinz

    2017-01-01

    Diabetes Mellitus type 2 (DM2) is associated with increased cancer risk. Instability of the genetic material plays a key role in the aetiology of human cancer. This study aimed to analyse genomic instability with the micronucleus cytome assay in exfoliated buccal cells depending on glycated haemoglobin (HbA1c) levels and medication in 146 female DM2 patients. The occurrence of micronuclei was significantly increased in DM2 patients compared to healthy controls. Furthermore, it was doubled in DM2 patients with HbA1c > 7.5% compared to subjects with HbA1c ≤ 7.5%. Positive correlations were found between micronuclei frequencies and HbA1c as well as fasting plasma glucose. Patients under insulin treatment showed a two-fold increase in micronuclei frequencies compared to subjects under first-line medication (no drugs or monotherapy with non-insulin medication). However, after separation of HbA1c (cut-off 7.5%) only patients with severe DM2 characterised by high HbA1c and insulin treatment showed higher micronuclei frequencies but not patients with insulin treatment and low HbA1c. We demonstrated that the severity of DM2 accompanied by elevated micronuclei frequencies predict a possible enhanced cancer risk among female DM2 patients. Therapy, therefore, should focus on a strict HbA1c control and personalised medical treatments. PMID:28150817

  20. Hemorheological alterations in adults with prediabetes identified by hemoglobin A1c levels.

    PubMed

    Marini, M A; Fiorentino, T V; Andreozzi, F; Mannino, G C; Succurro, E; Sciacqua, A; Perticone, F; Sesti, G

    2017-07-01

    A link between increased blood viscosity and type 2 diabetes has been previously reported. Herein, we investigated the association of blood viscosity with prediabetes, identified by glycated hemoglobin A1c (HbA1c) according to the new American Diabetes Association criteria, and subclinical atherosclerosis. The study cohort includes 1136 non-diabetic adults submitted to anthropometrical evaluation, an oral glucose tolerance test and ultrasound measurement of carotid intima-media thickness (IMT). Whole blood viscosity was estimated using a validated formula based on hematocrit and total plasma proteins. After adjusting for age, and gender, individuals with HbA1c-defined prediabetes (HbA1c 5.7-6.4% [39-47 mmol/mol]) exhibited significantly higher values of hematocrit, and predicted blood viscosity as compared with controls. Increased levels of IMT were observed in subjects with HbA1c-defined prediabetes in comparison to controls. Predicted blood viscosity was positively correlated with age, waist circumference, blood pressure, cholesterol, triglycerides, fibrinogen, white blood cell, HbA1c, fasting and 2-h post-load glucose levels, fasting insulin, IMT and inversely correlated with HDL and Matsuda index of insulin sensitivity. Of the three glycemic parameters, i.e. HbA1c, fasting and 2-h post-load glucose, only HbA1c showed a significant correlation with predicted blood viscosity (β = 0.054, P = 0.04) in a multivariate regression analysis model including multiple atherosclerosis risk factors. The study shows that individuals with HbA1c-defined prediabetes have increased predicted blood viscosity and IMT. The HbA1c criterion may be helpful to capture individuals with an increased risk of diabetes and cardiovascular disease who may benefit from an intensive lifestyle intervention. Copyright © 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical

  1. EVOLUTION OF FAST MAGNETOACOUSTIC PULSES IN RANDOMLY STRUCTURED CORONAL PLASMAS

    SciTech Connect

    Yuan, D.; Li, B.; Pascoe, D. J.; Nakariakov, V. M.; Keppens, R. E-mail: bbl@sdu.edu.cn

    2015-02-01

    We investigate the evolution of fast magnetoacoustic pulses in randomly structured plasmas, in the context of large-scale propagating waves in the solar atmosphere. We perform one-dimensional numerical simulations of fast wave pulses propagating perpendicular to a constant magnetic field in a low-β plasma with a random density profile across the field. Both linear and nonlinear regimes are considered. We study how the evolution of the pulse amplitude and width depends on their initial values and the parameters of the random structuring. Acting as a dispersive medium, a randomly structured plasma causes amplitude attenuation and width broadening of the fast wave pulses. After the passage of the main pulse, secondary propagating and standing fast waves appear. Width evolution of both linear and nonlinear pulses can be well approximated by linear functions; however, narrow pulses may have zero or negative broadening. This arises because narrow pulses are prone to splitting, while broad pulses usually deviate less from their initial Gaussian shape and form ripple structures on top of the main pulse. Linear pulses decay at an almost constant rate, while nonlinear pulses decay exponentially. A pulse interacts most efficiently with a random medium with a correlation length of about half of the initial pulse width. This detailed model of fast wave pulses propagating in highly structured media substantiates the interpretation of EIT waves as fast magnetoacoustic waves. Evolution of a fast pulse provides us with a novel method to diagnose the sub-resolution filamentation of the solar atmosphere.

  2. Fast Magnetic Reconnection: Bridging Laboratory and Space Plasma Physics

    SciTech Connect

    Bhattacharjee, Amitava

    2012-02-16

    Recent developments in experimental and theoretical studies of magnetic reconnection hold promise for providing solutions to outstanding problems in laboratory and space plasma physics. Examples include sawtooth crashes in tokamaks, substorms in the Earth’s Magnetosphere, eruptive solar flares, and more recently, fast reconnection in laser-produced high energy density plasmas. In each of these examples, a common and long-standing challenge has been to explain why fast reconnection proceeds rapidly from a relatively quiescent state. In this talk, we demonstrate the advantages of viewing these problems and their solutions from a common perspective. We focus on some recent, surprising discoveries regarding the role of secondary plasmoid instabilities of thin current sheets. Nonlinearly, these instabilities lead to fast reconnection rates that are very weakly dependent on the Lundquist number of the plasma.

  3. Interaction of fast magnetoacoustic solitons in dense plasmas

    SciTech Connect

    Jahangir, R.; Saleem, Khalid; Masood, W.; Siddiq, M.; Batool, Nazia

    2015-09-15

    One dimensional propagation of fast magnetoacoustic solitary waves in dense plasmas with degenerate electrons is investigated in this paper in the small amplitude limit. In this regard, Korteweg deVries equation is derived and discussed using the plasma parameters that are typically found in white dwarf stars. The interaction of fast magnetoacoustic solitons is explored by using the Hirota bilinear formalism, which admits multi soliton solutions. It is observed that the values of the propagation vectors determine the interaction of solitary waves. It is further noted that the amplitude of the respective solitary waves remain unchanged after the interaction; however, they do experience a phase shift.

  4. High power, fast, microwave components based on beam generated plasmas

    NASA Astrophysics Data System (ADS)

    Manheimer, W. M.; Fernsler, R. F.; Gitlin, M. S.

    1998-10-01

    It is shown that the agile mirror plasma, under development as a device to simply and cheaply give electronic steering to microwave beams, also has application as a fast, electronically controlled, high power reflector, or phase shifter. In a radar system, this can lead to such applications as pulse to pulse polarization agility and electronic control of antenna gain, as well as to innovative approaches to high power millimeter wave circulators. The basic theory of the enhanced glow plasma is also developed.

  5. New Apparatus to Study Fast Atomic Recombination in Ultracold Plasma

    NASA Astrophysics Data System (ADS)

    Lim, Michael; Willis, Lucas

    2006-10-01

    We have constructed an apparatus to study the early evolution (0-1000 ns) of ultracold plasma, produced by photo-ionization of rubidium atoms in a magneto-optical trap. We report on progress toward measuring recombined atomic populations in ultracold plasma using ramped field ionization. The new setup features fast deflector plates to avoid saturation of the multi-channel plate detector, as well as close atmospheric access to the ultra-high vacuum interaction region.

  6. Fast Tunable Microwave Devices Using Self-driven Plasma Instabilities

    NASA Astrophysics Data System (ADS)

    Biggs, David; Cappelli, Mark

    2016-10-01

    Tunable electromagnetic devices using plasmas are of interest for various applications such as high frequency communications and analog signal processing. At microwave frequencies of tens of gigahertz, low-pressure plasmas must be employed in order to avoid high wave damping from collisions. The drawback of low-pressure plasmas is that their diffusion timescales are long, on the order of hundreds of microseconds. Other mechanisms than diffusion must be employed to achieve fast tuning capabilities of these devices. One candidate mechanism is to use a self-driven plasma instability, which may allow for fast tuning of microwave resonant cavities. In this work, a microwave resonant cavity is studied consisting of a rectangular waveguide with two conducting posts spaced along the propagation direction to form a rectangular cavity. The cavity acts as a band pass filter and transmits microwave signals around its resonant frequency. Plasma may be introduced into the cavity between the conducting posts in order to change the refractive index and thus the resonant and transmission frequency of the device. The location of the plasma and its plasma density are important parameters in determining the resonant frequency, and both parameters are capable of being tuned with plasma instabilities. This work is supported by the Air Force Office of Scientific Research.

  7. Effect of chromium supplementation on glycated hemoglobin and fasting plasma glucose in patients with diabetes mellitus.

    PubMed

    Yin, Raynold V; Phung, Olivia J

    2015-02-13

    Chromium (Cr) is a trace element involved in glucose homeostasis. We aim to evaluate and quantify the effects of Cr supplementation on A1C and FPG in patients with T2DM. A systematic literature search of Pubmed, EMBASE and the Cochrane Library (from database inception to 11/2014) with no language restrictions sought RCTs or cohort studies evaluating Cr supplementation in T2DM vs control and reporting either change in glycated hemoglobin (A1C) or fasting plasma glucose (FPG). Meta-analysis was conducted on each subtype of Cr supplement separately, and was analyzed by random effects model to yield the weighted mean differences (WMD) and 95% confidence intervals (CIs). Heterogeneity was assessed by using the I(2) statistic. A total of 14 RCTs (n=875 participants, mean age range: 30 to 83 years old, 8 to 24 weeks of follow-up) were identified (Cr chloride: n=3 study, Cr picolinate: n=5 study, brewer's yeast: n=4 study and Cr yeast: n=3 study). Compared with placebo, Cr yeast, brewer's yeast and Cr picolinate did not show statistically significant effects on A1C. Furthermore, compared to control, Cr chloride, Cr yeast and Cr picolinate showed no effect on FPG, however, brewer's yeast showed a statistically significant decrease in FPG -19.23 mg/dL (95% CI=-35.30 to -3.16, I(2)=21%, n=137). Cr supplementation with brewer's yeast may provide marginal benefits in lowering FPG in patients with T2DM compared to placebo however it did not have any effect on A1C.

  8. Progress toward measuring fast atomic recombination in ultracold plasma

    NASA Astrophysics Data System (ADS)

    Lim, Michael; Willis, Lucas

    2007-06-01

    We report on progress toward measuring the time-dependent distribution of atomic energy levels populated by recombination and collisions in ultracold plasma. The plasma is produced by direct photo-ionization of rubidium atoms in a magneto-optical trap. Our primary goal is to measure the changing Rydberg atom distribution in the first microsecond after plasma creation. Although predictions have been made for system behavior in this interval, this type of measurement has been elusive. Our apparatus features fast deflector plates to prevent saturation of the multi-channel plate detector, which is one of the main technical obstacles in this effort.

  9. Hemoglobin A1c and Self-Monitored Average Glucose

    PubMed Central

    Kovatchev, Boris P.; Breton, Marc D.

    2015-01-01

    Background: Previously we have introduced the eA1c—a new approach to real-time tracking of average glycemia and estimation of HbA1c from infrequent self-monitoring (SMBG) data, which was developed and tested in type 2 diabetes. We now test eA1c in type 1 diabetes and assess its relationship to the hemoglobin glycation index (HGI)—an established predictor of complications and treatment effect. Methods: Reanalysis of previously published 12-month data from 120 patients with type 1 diabetes, age 39.15 (14.35) years, 51/69 males/females, baseline HbA1c = 7.99% (1.48), duration of diabetes 20.28 (12.92) years, number SMBG/day = 4.69 (1.84). Surrogate fasting BG and 7-point daily profiles were derived from these unstructured SMBG data and the previously reported eA1c method was applied without any changes. Following the literature, we calculated HGI = HbA1c – (0.009 × Fasting BG + 6.8). Results: The correlation of eA1c with reference HbA1c was r = .75, and its deviation from reference was MARD = 7.98%; 95% of all eA1c values fell within ±20% from reference. The HGI was well approximated by a linear combination of the eA1c calibration factors: HGI = 0.007552*θ1 + 0.007645*θ2 – 3.154 (P < .0001); 73% of low versus moderate-high HGIs were correctly classified by the same factors as well. Conclusions: The eA1c procedure developed in type 2 diabetes to track in real-time changes in average glycemia and present the results in HbA1c-equivalent units has shown similar performance in type 1 diabetes. The eA1c calibration factors are highly predictive of the HGI, thereby explaining partially the biological variation causing discrepancies between HbA1c and its linear estimates from SMBG data. PMID:26553023

  10. Physical conditions for fast reconnection evolution in space plasmas

    SciTech Connect

    Ugai, M.

    2012-07-15

    The present paper studies physical conditions for fast reconnection mechanism involving slow shocks to evolve spontaneously in space (high-temperature) plasmas. This is fundamental for onset mechanisms of geomagnetic substorms and solar flares. It is demonstrated that reconnection evolution strongly depends on effective resistivity available in space plasmas as well as on dimensions of initial current sheet. If a current sheet is sufficiently thin, fast reconnection spontaneously evolves only when resistivity is locally enhanced around X reconnection point. This is because in space plasmas reconnection flows cause vital current concentration locally around X point. For current-driven anomalous resistivity, the resulting resistivity is automatically localized around X point, so fast reconnection mechanism can be realized. On the other hand, for uniform or Spitzer resistivity, any fast reconnection cannot grow; in particular, Spitzer resistivity is reduced around X point because of Joule heating. Regarding reconnection simulations (either fluid or particle), unless numerical resistivities are made negligibly small, they seriously mask the effects of physical resistivity, leading to a misleading conclusion that reconnection evolution is little influenced by plasma resistivity.

  11. Measuring Fast Ion Losses in a Reversed Field Pinch Plasma

    NASA Astrophysics Data System (ADS)

    Bonofiglo, P. J.; Anderson, J. K.; Almagri, A. F.; Kim, J.; Clark, J.; Capecchi, W.; Sears, S. H.

    2015-11-01

    The reversed field pinch (RFP) provides a unique environment to study fast ion confinement and transport. The RFP's weak toroidal field, strong magnetic shear, and ability to enter a 3D state provide a wide range of dynamics to study fast ions. Core-localized, 25 keV fast ions are sourced into MST by a tangentially injected hydrogen/deuterium neutral beam. Neutral particle analysis and measured fusion neutron flux indicate enhanced fast ion transport in the plasma core. Past experiments point to a dynamic loss of fast ions associated with the RFP's transition to a 3D state and with beam-driven, bursting magnetic modes. Consequently, fast ion transport and losses in the RFP have garnered recent attention. Valuable information on fast-ion loss, such as energy and pitch distributions, are sought to provide a better understanding of the transport mechanisms at hand. We have constructed and implemented two fast ion loss detectors (FILDs) for use on MST. The FILDs have two, independent, design concepts: collecting particles as a function of v⊥ or with pitch greater than 0.8. In this work, we present our preliminary findings and results from our FILDs on MST. This research is supported by US DOE.

  12. Direct heating of imploded plasma in the fast ignition

    NASA Astrophysics Data System (ADS)

    Sunahara, Atsushi; Johzaki, Tomoyuki; Nagatomo, Hideo; Mima, Kunioki; Shiraga, Hiroyuki; Azechi, Hiroshi; Mori, Yohitaga; Kitagawa, Yoneyoshi

    2016-03-01

    We propose the direct heating of an imploded plasma core by ultra-intense lasers in inertial confinement fusion, to increase the heating coupling efficiency. In this scheme, both fast-electrons and fast-ions heat the plasma core. Experiments using this direct heating scheme has been carried out at GXII and LFEX laser facility at Osaka Univeristy. To model this direct heating scheme, we developed the 1D simulation model and carried out simulations using the experimental conditions. Comparison between results of the simulation and the experimental observations validates the simulation model. We show that even in the unoptimized experimental conditions used in simulations, our calculations show that the maximum temperature, 1.6 keV, of the CD plasma.

  13. Factors associated with reaching or not reaching target HbA1c after initiation of basal or premixed insulin in patients with type 2 diabetes.

    PubMed

    Scheen, A J; Schmitt, H; Jiang, H H; Ivanyi, T

    2017-02-01

    To evaluate factors associated with reaching or not reaching target glycated haemoglobin (HbA1c) levels by analysing the respective contributions of fasting hyperglycaemia (FHG), also referred to as basal hyperglycaemia, vs postprandial hyperglycaemia (PHG) before and after initiation of a basal or premixed insulin regimen in patients with type 2 diabetes. This post-hoc analysis of insulin-naïve patients in the DURABLE study randomised to receive either insulin glargine or insulin lispro mix 25 evaluated the percentages of patients achieving a target HbA1c of <7.0% (<53mmol/mol) per baseline HbA1c quartiles, and the effect of each insulin regimen on the relative contributions of PHG and FHG to overall hyperglycaemia. Patients had comparable demographic characteristics and similar HbA1c and FHG values at baseline in each HbA1c quartile regardless of whether they reached the target HbA1c. The higher the HbA1c quartile, the greater was the decrease in HbA1c, but also the smaller the percentage of patients achieving the target HbA1c. HbA1c and FHG decreased more in patients reaching the target, resulting in significantly lower values at endpoint in all baseline HbA1c quartiles with either insulin treatment. Patients not achieving the target HbA1c had slightly higher insulin doses, but lower total hypoglycaemia rates. Smaller decreases in FHG were associated with not reaching the target HbA1c, suggesting a need to increase basal or premixed insulin doses to achieve targeted fasting plasma glucose and improve patient response before introducing more intensive prandial insulin regimens. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  14. Plasma instability in fast spherical discharge induced by a preionization

    NASA Astrophysics Data System (ADS)

    Antsiferov, P. S.; Dorokhin, L. A.

    2015-04-01

    As it was shown earlier, fast discharge (dI/dt ˜ 1012 A/s and Imax ≈ 40 kA) in a spherical cavity (Al2O3, inner diameter 11 mm, 4 mm apertures for the current supply) filled with working gas (Ar and Xe, pressure 80 Pa), results in the formation of a plasma with the form close to spherical. The physical mechanism can be the cumulation of a convergent shock wave, which was originated near the inner surface of the discharge cavity. It was also shown for the cylindrical fast discharge that the preionization influences the dynamics of the cylindrical convergent shock wave, its evolutions becomes faster. The present work is devoted to the study of the influence of the preionization on the plasma formation in the fast discharge with spherical geometry (Ar, 80 Pa). The inductive storage with plasma erosion opening switch was used as a current driver. The spatial structure of the discharge plasma was studied by means of a pin-hole camera with the microchannel plate (MCP) detector with time gate of 5 ns. The extreme ultra violet spectra were studied by means of the grazing incidence spectrometer with the same MCP detector with time gate of 20 ns. Beside the expected effects (reduction of the spherical plasma formation time and some increase of the electron temperature), the preionization of the discharge by the current 500 A results also in the development of the plasma instabilities and destruction of the compact plasma ball in several tens of nanoseconds. Possible mechanism of the instability is discussed.

  15. Plasma instability in fast spherical discharge induced by a preionization

    SciTech Connect

    Antsiferov, P. S.; Dorokhin, L. A.

    2015-04-07

    As it was shown earlier, fast discharge (dI/dt ∼ 10{sup 12 }A/s and I{sub max} ≈ 40 kA) in a spherical cavity (Al{sub 2}O{sub 3}, inner diameter 11 mm, 4 mm apertures for the current supply) filled with working gas (Ar and Xe, pressure 80 Pa), results in the formation of a plasma with the form close to spherical. The physical mechanism can be the cumulation of a convergent shock wave, which was originated near the inner surface of the discharge cavity. It was also shown for the cylindrical fast discharge that the preionization influences the dynamics of the cylindrical convergent shock wave, its evolutions becomes faster. The present work is devoted to the study of the influence of the preionization on the plasma formation in the fast discharge with spherical geometry (Ar, 80 Pa). The inductive storage with plasma erosion opening switch was used as a current driver. The spatial structure of the discharge plasma was studied by means of a pin-hole camera with the microchannel plate (MCP) detector with time gate of 5 ns. The extreme ultra violet spectra were studied by means of the grazing incidence spectrometer with the same MCP detector with time gate of 20 ns. Beside the expected effects (reduction of the spherical plasma formation time and some increase of the electron temperature), the preionization of the discharge by the current 500 A results also in the development of the plasma instabilities and destruction of the compact plasma ball in several tens of nanoseconds. Possible mechanism of the instability is discussed.

  16. Resonance absorption of propagating fast waves in a cold plasma

    NASA Technical Reports Server (NTRS)

    Hollweg, Joseph V.

    1990-01-01

    Absorption of propagating waves impinging on a surface in which the plasma and magnetic field may change is investigated by examining in depth the problem of a combination of cold plasma, uniform magnetic field and a surface density which varies linearly from zero at the left end to some finite value at the right end, beyond which the density is constant. Two cases are considered: one in which the plasma is a vacuum everywhere to the left of the surface (which may correspond to coronal conditions) and one in which the plasma density jumps to a very large value to the left of the surface (which may mimic the magnetosphere with the dense region at the left corresponding to the plasmasphere). A complete discussion of the resonance absorption of propagating fast waves for the case considered by Kiveloson and Southwood (1986) is presented, emphasizing approximate analytical results whenever possible; these results are then compared with exact numerical solutions.

  17. The Fast Plasma Investigation on the Magnetospheric Multiscale Mission

    NASA Astrophysics Data System (ADS)

    Rager, A. C.; Pollock, C. J.; Avanov, L. A.; Barrie, A. C.; Burch, J. L.; Chandler, M. O.; Clark, G. B.; Coffey, V. N.; Dickson, C.; Dorelli, J.; Ergun, R.; Fuselier, S. A.; Gliese, U.; Giles, B. L.; Holland, M. P.; Jacques, A. D.; Kreisler, S.; Lavraud, B.; MacDonald, E.; Mauk, B.; Moore, T. E.; Mukai, T.; Nakamura, R.; Rosnack, T.; Saito, Y.; Salo, C.; Sauvaud, J. A.; Smith, D. L.; Smith, S. E.; Torbert, R. B.; Yokota, S.

    2015-12-01

    Launched in March 2015, the Fast Plasma Investigation (FPI) instrument suite on the Magnetospheric Multiscale Mission (MMS) is producing the highest time and spatial resolution 3D electron and ion particle distribution function measurements to date. During FPI science operations, the four spacecraft maintain a tetrahedral formation such that 3D measurements of the plasma and field gradients are enabled. This allows the spacecraft to better investigate reconnection and to distinguish between spatial and temporal structures. In the first three months, we expect to observe magnetic phenomena such as dipolarization fronts, the plasma sheet boundary layer, magnetopause crossings, ion dispersive signatures of from remote reconnection sites, and magnetic holes. This poster is intended to supplement the invited talk on FPI results by Pollock et al. by providing further detail of the instrumentation and calibration, as well as a sampling of early magnetospheric plasma observations in the evening-side magnetotail, dusk flank, and afternoon magnetopause.

  18. Fusion-fission-fusion fast ignition plasma focus [rapid communication

    NASA Astrophysics Data System (ADS)

    Winterberg, F.

    2005-03-01

    A crucial advancement in the problem for the controlled release of energy by nuclear fusion appears possible by an autocatalytic fusion-fission-fusion microexplosion, where the deuterium-tritium (DT) fusion reaction of a dense magnetized DT plasma placed inside a thin liner made up of U238, Th232 (perhaps B10) releases a sufficient number of 14 MeV fusion neutrons which by fission reactions in the liner implode the liner on the DT plasma. The liner implosion increases the DT plasma density and with it the neutron output accelerating the fast fission reactions. Following the fast fission assisted ignition, a thermonuclear detonation wave can propagate into unburnt DT to reach a high gain. The simplest way for the realization of this concept appears to be the dense plasma focus configuration, amended with a nested high voltage magnetically insulated transmission line for the heating of the DT. The large magnetic field needed for the α-particle entrapment of the DT fusion reaction is here generated by the thermomagnetic Nernst effect, amplifying the magnetic field of the plasma focus current sheet.

  19. Prognosis of Ischemic Stroke With Newly Diagnosed Diabetes Mellitus According to Hemoglobin A1c Criteria in Chinese Population.

    PubMed

    Jing, Jing; Pan, Yuesong; Zhao, Xingquan; Zheng, Huaguang; Jia, Qian; Li, Hao; Guan, Ling; Liu, Liping; Wang, Chunxue; Meng, Xia; He, Yan; Wang, Yilong; Wang, Yongjun

    2016-08-01

    Hemoglobin A1c (HbA1c) was recommended to diagnose diabetes mellitus, but whether newly diagnosed diabetes mellitus (NDDM) according to the new criteria was associated with stroke prognosis was unclear. We aimed to investigate the prognosis of ischemic stroke with NDDM according to the new criteria. Ischemic stroke without a diabetes mellitus history in the survey on Abnormal Glucose Regulation in Patients With Acute Stroke Across China were included in the analysis. NDDM was defined as fasting plasma glucose ≥7.0 mmol/L, 2-hour oral glucose tolerance test ≥11.1 mmol/L, or HbA1c ≥6.5%, and NDDM was divided into group 1, diagnosed by glucose criteria (fasting plasma glucose ≥7.0 mmol/L or 2-hour oral glucose tolerance test ≥11.1 mmol/L with/without HbA1c ≥6.5%), or group 2, diagnosed by single high HbA1c (fasting plasma glucose <7.0 mmol/L, 2-hour oral glucose tolerance test <11.1 mmol/L, and HbA1c ≥6.5%). The association between NDDM and 1-year prognosis (mortality, stroke recurrence, and poor functional outcome [modified Rankin scale score 3-6]) was estimated. Among 1251 ischemic stroke patients, 539 were NDDM and 141 of NDDM with single high HbA1c. NDDM was an independent risk factor for 1-year mortality (hazard ratio, 1.12; 95% confidence interval, 1.001-1.26), stroke recurrence (hazard ratio, 1.14; 95% confidence interval, 1.01-1.28), and poor functional outcome (odds ratio, 2.58; 95% confidence interval, 1.95-3.43) compared with non-diabetes mellitus. Nevertheless, NDDM with single high HbA1c was not significantly associated with 1-year prognosis for all end points (P>0.05 for all). NDDM by new criteria was associated with poor prognosis at 1 year after ischemic stroke; however, NDDM with single high HbA1c did not predict a poor prognosis. © 2016 American Heart Association, Inc.

  20. Usefulness of hemoglobin A1c as a criterion of dysglycemia in the definition of metabolic syndrome in Koreans.

    PubMed

    Kim, Hong-Kyu; Kim, Chul-Hee; Kim, Eun-Hee; Bae, Sung-Jin; Park, Joong-Yeol

    2012-03-01

    To explore the utility of the HbA1c criterion in the definition of metabolic syndrome (MS) in Koreans, we cross-sectionally analyzed clinical and laboratory data on 11,293 non-diabetic Korean adults (aged 20-89 years, 34% women) collected during regular health checkups. Dysglycemia was defined as either fasting plasma glucose (FPG) ≥ 5.6 mmol/l or HbA1c ≥ 5.7%. The prevalence of MS as judged by the HbA1c criterion alone (17.8%) was significantly less than that determined by FPG level alone (24.5%). Use of a combination of both criteria slightly increased the prevalence of MS (26.0%). Among the 2953 subjects categorized as having MS using the combined criteria, 929 (31%) were diagnosed by the FPG criterion alone, 177 (6%) by the HbA1c criterion alone, and 1847 (63%) using both criteria. The group diagnosed using FPG values alone had significantly higher BMI, waist circumference, blood pressure, fasting plasma insulin levels, and insulin resistance index compared with those in the group diagnosed using HbA1c levels alone. In men, the brachial-ankle pulse wave velocity was significantly higher and the HDL-cholesterol level was lower in the HbA1c-alone group. Therefore, employment of the HbA1c criterion may be useful to define MS in subjects at increased risk for atherosclerosis. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  1. Focused beams of fast neutral atoms in glow discharge plasma

    NASA Astrophysics Data System (ADS)

    Grigoriev, S. N.; Melnik, Yu. A.; Metel, A. S.; Volosova, M. A.

    2017-06-01

    Glow discharge with electrostatic confinement of electrons in a vacuum chamber allows plasma processing of conductive products in a wide pressure range of p = 0.01 - 5 Pa. To assist processing of a small dielectric product with a concentrated on its surface beam of fast neutral atoms, which do not cause charge effects, ions from the discharge plasma are accelerated towards the product and transformed into fast atoms. The beam is produced using a negatively biased cylindrical or a spherical grid immersed in the plasma. Ions accelerated by the grid turn into fast neutral atoms at p > 0.1 Pa due to charge exchange collisions with gas atoms in the space charge sheaths adjoining the grid. The atoms form a diverging neutral beam and a converging beam propagating from the grid in opposite directions. The beam propagating from the concave surface of a 0.24-m-wide cylindrical grid is focused on a target within a 10-mm-wide stripe, and the beam from the 0.24-m-diameter spherical grid is focused within a 10-mm-diameter circle. At the bias voltage U = 5 kV and p ˜ 0.1 Pa, the energy of fast argon atoms is distributed continuously from zero to eU ˜ 5 keV. The pressure increase to 1 Pa results in the tenfold growth of their equivalent current and a decrease in the mean energy by an order of magnitude, which substantially raises the efficiency of material etching. Sharpening by the beam of ceramic knife-blades proved that the new method for the generation of concentrated fast atom beams can be effectively used for the processing of dielectric materials in vacuum.

  2. Interaction between high harmonic fast waves and fast ions in NSTX/NSTX-U plasmas

    NASA Astrophysics Data System (ADS)

    Bertelli, N.; Valeo, E. J.; Gorelenkova, M.; Green, D. L.; RF SciDAC Team

    2016-10-01

    Fast wave (FW) heating in the ion cyclotron range of frequency (ICRF) has been successfully used to sustain and control the fusion plasma performance, and it will likely play an important role in the ITER experiment. As demonstrated in the NSTX and DIII-D experiments the interactions between fast waves and fast ions can be so strong to significantly modify the fast ion population from neutral beam injection. In fact, it has been recently found in NSTX that FWs can modify and, under certain conditions, even suppress the energetic particle driven instabilities, such as toroidal Alfvén eigenmodes and global Alfvén eigenmodes and fishbones. This paper examines such interactions in NSTX/NSTX-U plasmas by using the recent extension of the RF full-wave code TORIC to include non-Maxwellian ions distribution functions. Particular attention is given to the evolution of the fast ions distribution function w/ and w/o RF. Tests on the RF kick-operator implemented in the Monte-Carlo particle code NUBEAM is also discussed in order to move towards a self consistent evaluation of the RF wave-field and the ion distribution functions in the TRANSP code. Work supported by US DOE Contract DE-AC02-09CH11466.

  3. Fast plasma heating by anomalous and inertial resistivity effects

    NASA Technical Reports Server (NTRS)

    Duijveman, A.; Hoyng, P.; Ionson, J. A.

    1981-01-01

    Fast plasma heating by anomalous and inertial resistivity effects is described. A small fraction of the plasma contains strong currents that run parallel to the magnetic field and are driven by an exponentiating electric field. The anomalous character of the current dissipation is caused by the excitation of electrostatic ion cyclotron and/or ion acoustic waves. The role of resistivity due to geometrical effects is considered. Through the use of a marginal stability analysis, equations for the average electron and ion temperatures are derived and numerically solved. The evolution of the plasma is described as a path in the drift velocity diagram, in which the drift velocity is plotted as a function of the electron to ion temperature ratio.

  4. Fast discharge in a plasma gun with hemispherical insulator

    NASA Astrophysics Data System (ADS)

    Antsiferov, P. S.; Dorokhin, L. A.; Sidelnikov, Yu. V.; Koshelev, K. N.

    2009-05-01

    A method of creation of hot dense plasma is proposed. It is based on cumulation of a shockwave, which originates on a hemispherical surface of insulator of plasma gun. The results of first experiments are presented. The shock wave is driven by fast electrical discharge (dI /dt>1012 A/s). The inductive storage with semiconductor opening switch is used as a current driver. Time resolved pin-hole images and vacuum ultraviolet (vuv) spectra are studied. Shockwaves from hemispherical insulator with 4 mm radius create plasma with a form of column about 1 mm diameter and 3-4 mm length. vuv spectra contain the lines of Ar ions that corresponds to the electron temperature about 20 eV. Possible practical application is discussed.

  5. Fast Fermi acceleration in the plasma sheet boundary layer

    NASA Technical Reports Server (NTRS)

    Wu, C. S.; Mandt, M. E.; Krauss-Varban, D.; Lui, A. T. Y.

    1989-01-01

    A longstanding question in the field of magnetospheric physics is the source of the energetic particles which are commonly observed along the plasma-sheet boundary layer (PSBL). Several models have been suggested for the acceleration of these particles. Here, a means is suggested by which the fast Fermi acceleration mechanism (Wu, 1984) can accelerate electrons at the plasma sheet and perhaps account for some of the observations. In this scheme, a localized hydromagnetic disturbance propagating through the tail lobe region impinges upon the PSBL, deforming it and displacing it in toward the central plasma sheet. The boundary layer can then act like a moving magnetic mirror. If the disturbance is propagating nearly perpendicular to the layer, then its velocity projected parallel to the layer (and the magnetic field) can be very large, resulting in significant acceleration of reflected particles.

  6. Fast discharge in a plasma gun with hemispherical insulator

    SciTech Connect

    Antsiferov, P. S.; Dorokhin, L. A.; Sidelnikov, Yu. V.; Koshelev, K. N.

    2009-05-15

    A method of creation of hot dense plasma is proposed. It is based on cumulation of a shockwave, which originates on a hemispherical surface of insulator of plasma gun. The results of first experiments are presented. The shock wave is driven by fast electrical discharge (dI/dt>10{sup 12} A/s). The inductive storage with semiconductor opening switch is used as a current driver. Time resolved pin-hole images and vacuum ultraviolet (vuv) spectra are studied. Shockwaves from hemispherical insulator with 4 mm radius create plasma with a form of column about 1 mm diameter and 3-4 mm length. vuv spectra contain the lines of Ar ions that corresponds to the electron temperature about 20 eV. Possible practical application is discussed.

  7. Fast Fermi acceleration in the plasma sheet boundary layer

    NASA Astrophysics Data System (ADS)

    Wu, C. S.; Mandt, M. E.; Krauss-Varban, D.; Lui, A. T. Y.

    1989-10-01

    A longstanding question in the field of magnetospheric physics is the source of the energetic particles which are commonly observed along the plasma-sheet boundary layer (PSBL). Several models have been suggested for the acceleration of these particles. Here, a means is suggested by which the fast Fermi acceleration mechanism (Wu, 1984) can accelerate electrons at the plasma sheet and perhaps account for some of the observations. In this scheme, a localized hydromagnetic disturbance propagating through the tail lobe region impinges upon the PSBL, deforming it and displacing it in toward the central plasma sheet. The boundary layer can then act like a moving magnetic mirror. If the disturbance is propagating nearly perpendicular to the layer, then its velocity projected parallel to the layer (and the magnetic field) can be very large, resulting in significant acceleration of reflected particles.

  8. HbA1c and Glycated Albumin Levels Are High in Gastrectomized Subjects with Iron-Deficiency Anemia.

    PubMed

    Inada, Shinya; Koga, Masafumi

    2017-01-01

    We report that glycated albumin (GA) is higher relative to HbA1c in non-diabetic, gastrectomized subjects without anemia, and thus is a sign of oxyhyperglycemia. It is known that gastrectomized subjects are prone to iron-deficiency anemia (IDA), and that the HbA1c levels of subjects with IDA are falsely high. In the present study, the HbA1c and GA levels of gastrectomized subjects with IDA were compared with gastrectomized subjects without anemia. Seven non-diabetic gastrectomized subjects with IDA were enrolled in the present study. Twenty-eight non-diabetic gastrectomized subjects without anemia matched with the subjects with IDA in terms of age, gender, and body mass index were used as the controls. Although there were no significant differences in fasting plasma glucose and OGTT 2-hour plasma glucose (2-h PG) between the two groups, the HbA1c and GA levels in gastrectomized subjects with IDA were significantly higher than the controls. For all of the gastrectomized subjects (n=35), ferritin exhibited a significant negative correlation with HbA1c and GA, and a significant positive correlation with 2-h PG. In addition, the HbA1c and GA levels exhibited a significant negative correlation with the mean corpuscular hemoglobin and hemoglobin. The HbA1c and GA levels in gastrectomized subjects with IDA were significantly higher than those in controls. The high GA levels are attributed to a tendency in which patients with total gastrectomy, who are prone to IDA, are susceptible to postprandial hyperglycemia and reactive hypoglycemia, which in turn leads to large fluctuations in plasma glucose.

  9. Study of plasma heating induced by fast electrons

    SciTech Connect

    Morace, A.; Batani, D.; Redaelli, R.; Magunov, A.; Fourment, C.; Santos, J. J.; Malka, G.; Boscheron, A.; Nazarov, W.; Vinci, T.; Okano, Y.; Inubushi, Y.; Nishimura, H.; Flacco, A.; Spindloe, C.; Tolley, M.

    2009-12-15

    We studied the induced plasma heating in three different kinds of targets: mass limited, foam targets, and large mass targets. The experiment was performed at Alise Laser Facility of CEA/CESTA. The laser system emitted a approx1 ps pulse with approx10 J energy at a wavelength of approx1 {mu}m. Mass limited targets had three layers with thicknesses of 10 {mu}m C{sub 8}H{sub 8}, 1 {mu}m C{sub 8}H{sub 7}Cl, and 10 {mu}m C{sub 8}H{sub 8} with size of 100x100 {mu}m{sup 2}. Detailed spectroscopic analysis of x rays emitted from the Cl tracer showed that it was possible to heat up the plasma from mass limited targets to a temperature of approx250 eV with density of approx10{sup 21} cm{sup -3}. The plasma heating is only produced by fast electron transport in the target, being the 10 {mu}m C{sub 8}H{sub 8} overcoating thick enough to prevent any possible direct irradiation of the tracer layer even taking into account mass-ablation due to the prepulse. These results demonstrate that with mass limited targets, it is possible to generate a plasma heated up to several hundreds eV. It is also very important for research concerning high energy density phenomena and for fast ignition (in particular for the study of fast electrons transport and induced heating).

  10. Plasma Distribution in Mercury's Magnetosphere Derived from MESSENGER Magnetometer and Fast Imaging Plasma Spectrometer Observations

    NASA Technical Reports Server (NTRS)

    Korth, Haje; Anderson, Brian J.; Gershman, Daniel J.; Raines, Jim M.; Slavin, James A.; Zurbuchen, Thomas H.; Solomon, Sean C.; McNutt, Ralph L.

    2014-01-01

    We assess the statistical spatial distribution of plasma in Mercury's magnetosphere from observations of magnetic pressure deficits and plasma characteristics by the MErcury Surface, Space ENvironment, GEochemistry, and Ranging (MESSENGER) spacecraft. The statistical distributions of proton flux and pressure were derived from 10months of Fast Imaging Plasma Spectrometer (FIPS) observations obtained during the orbital phase of the MESSENGER mission. The Magnetometer-derived pressure distributions compare favorably with those deduced from the FIPS observations at locations where depressions in the magnetic field associated with the presence of enhanced plasma pressures are discernible in the Magnetometer data. The magnitudes of the magnetic pressure deficit and the plasma pressure agree on average, although the two measures of plasma pressure may deviate for individual events by as much as a factor of approximately 3. The FIPS distributions provide better statistics in regions where the plasma is more tenuous and reveal an enhanced plasma population near the magnetopause flanks resulting from direct entry of magnetosheath plasma into the low-latitude boundary layer of the magnetosphere. The plasma observations also exhibit a pronounced north-south asymmetry on the nightside, with markedly lower fluxes at low altitudes in the northern hemisphere than at higher altitudes in the south on the same field line. This asymmetry is consistent with particle loss to the southern hemisphere surface during bounce motion in Mercury's offset dipole magnetic field.

  11. Gestational diabetes mellitus: Screening with fasting plasma glucose

    PubMed Central

    Agarwal, Mukesh M

    2016-01-01

    Fasting plasma glucose (FPG) as a screening test for gestational diabetes mellitus (GDM) has had a checkered history. During the last three decades, a few initial anecdotal reports have given way to the recent well-conducted studies. This review: (1) traces the history; (2) weighs the advantages and disadvantages; (3) addresses the significance in early pregnancy; (4) underscores the benefits after delivery; and (5) emphasizes the cost savings of using the FPG in the screening of GDM. It also highlights the utility of fasting capillary glucose and stresses the value of the FPG in circumventing the cumbersome oral glucose tolerance test. An understanding of all the caveats is crucial to be able to use the FPG for investigating glucose intolerance in pregnancy. Thus, all health professionals can use the patient-friendly FPG to simplify the onerous algorithms available for the screening and diagnosis of GDM - thereby helping each and every pregnant woman. PMID:27525055

  12. Interplay between fast ions and turbulence in magnetic fusion plasmas

    NASA Astrophysics Data System (ADS)

    Dumont, R. J.; Zarzoso, D.; Sarazin, Y.; Garbet, X.; Strugarek, A.; Abiteboul, J.; Cartier-Michaud, T.; Dif-Pradalier, G.; Ghendrih, Ph; Girardo, J.-B.; Grandgirard, V.; Latu, G.; Passeron, C.; Thomine, O.

    2013-12-01

    Evidence for the impact of energetic particles (EPs) on turbulence is given in this paper. Firstly, the excitation of electrostatic instabilities in linear gyrokinetic simulations performed with the global GYSELA code by introducing distribution functions typical of fast ions in tokamak plasmas is presented. The obtained mode is unambiguously characterized as an EGAM, i.e. a geodesic acoustic mode (GAM) excited by EPs. The influence of EGAMs on turbulence and associated transport is then analyzed by implementing a source adapted to the inclusion of fast particle populations in non-linear simulations. This source successfully excites EGAMs in the presence of turbulence, which leads to a drastic reduction of the turbulent transport. However, this reduction is only transient; it is followed by an increase of the turbulent activity, characterized by a complex interaction between the EGAMs and the turbulence. In the subsequent steady-state regime, turbulent transport appears to be modulated at the EGAM frequency.

  13. Modulational instability of fast magnetosonic waves in a solar plasma

    NASA Astrophysics Data System (ADS)

    Sakai, J.-I.

    1983-04-01

    A set of coupled equations describing the modulational instability, including gravity, is derived from the MHD. It is noted that the results obtained here may figure prominently in processes of magnetic field line reconnection caused by nonlinear MHD waves (Sakai et al., 1982), as well as in explanations of the slow motions recently observed in the X-ray pictures during Skylab (Rust and Svestka, 1979). The modulational instability is discussed, and an estimate is made of the growth rate. Attention is also given to the applications of the modulational instability of fast modes to a solar plasma.

  14. Fast moving plasma structures in the distant magnetotail

    NASA Technical Reports Server (NTRS)

    Scholer, M.; Klecker, B.; Hovestadt, D.; Gloeckler, G.; Ipavich, F. M.; Smith, E. J.

    1984-01-01

    The paper reports for the first time the detailed time behavior of the intensities and the angular distributions of energetic protons and electrons in the distant magnetotail of the earth at 220 earth radii and 110 earth radii. The data have been obtained by the Max-Planck-Institut/University of Maryland sensor system on ISEE 3 during the spacecraft's first deep tail passage. Three energetic particle bursts are studied in detail. It is suggested that the satellite encounters detached plasma structures evidenced by the isotropic electrons. These structures, probably plasmoids, move with high velocities (about 800 km/s) down the tail. The energetic electrons and protons stream ahead of these fast tailward moving plasma structures, which leads to the various time dispersion effects. This allows, in principle, a determination of the source distance from the satellite.

  15. Observation of Ion Cyclotron Heating in a Fast-flowing Plasma for an Advanced Plasma Thruster

    NASA Astrophysics Data System (ADS)

    Ando, Akira; Hatanaka, Motoi; Shibata, Masaki; Tobari, Hiroyuki; Hattori, Kunihiko; Inutake, Masaaki

    2004-11-01

    In the Variable Specific Impulse Magnetoplasma Rocket (VASIMR) project in NASA, the combined system of the ion cyclotron heating and the magnetic nozzle is proposed to control a ratio of specific impulse to thrust at constant power. In order to establish the advanced plasma thruster, experiments of an ion heating and plasma acceleration by a magnetic nozzle are performed in a fast-flowing plasma in the HITOP device. A fast-flowing He plasma is produced by Magneto-Plasma-Dynamic Arcjet (MPDA) operated with an externally-applied magnetic field up to 1kG. RF waves with an ion cyclotron range of frequency (f=20-300kHz) is excited by a helically-wound antenna located downstream of the MPDA. Increases of an ion temperature and plasma stored energy measured by a diamagnetic coil clearly observed during the RF pulse. The heating efficiency is compared for various magnetic field configurations and strengths. There appears no indication of cyclotron resonance in a high density plasma where the ratio of ion cyclotron frequency to ion-ion collision one is below unity, because an ion-ion collisional effect is dominant. When the density becomes low and the ratio of ion cyclotron frequency to ion-ion collision one becomes high, features of ion cyclotron resonance are clearly appeared. The optimum magnetic field strength for the ion heating is slightly lower than that of the cyclotron resonance, which is caused by the Doppler effect due to the fast-flowing plasma. An ion energy distribution function is measured at a magnetic nozzle region by an electrostatic analyzer and increase of the parallel velocity is also observed.

  16. Hysteresis and fast timescales in transport relations of toroidal plasmas

    NASA Astrophysics Data System (ADS)

    Itoh, K.; Itoh, S.-I.; Ida, K.; Inagaki, S.; Kamada, Y.; Kamiya, K.; Dong, J. Q.; Hidalgo, C.; Evans, T.; Ko, W. H.; Park, H.; Tokuzawa, T.; Kubo, S.; Kobayashi, T.; Kosuga, Y.; Sasaki, M.; Yun, G. S.; Song, S. D.; Kasuya, N.; Nagashima, Y.; Moon, C.; Yoshinuma, M.; Makino, R.; Tsujimura, T.; Tsuchiya, H.; Stroth, U.

    2017-10-01

    This article assesses current understanding of hysteresis in transport relations, and its impact on the field. The rapid changes of fluxes compared to slow changes of plasma parameters are overviewed for both core and edge plasmas. The modulation ECH experiment is explained, in which the heating power cycles on-and-off periodically, revealing hysteresis and fast changes in the gradient-flux relation. The key finding is that hystereses were observed simultaneously in both the the gradient-flux and gradient-fluctuation relations. Hysteresis with rapid timescale exists in the channels of energy, electron and impurity densities, and plausibly in momentum. Advanced methods of data analysis are explained. Transport hysteresis can be studied by observing the higher harmonics of temperature perturbation δ Tm in heating modulation experiments. The hysteresis introduces the term δ Tm , which depends on the harmonic number m in an algebraic manner (not exponential decay). Next, the causes of hysteresis and its fast timescale are discussed. The nonlocal-in-space coupling works here, but does not suffice. One mechanism for ‘the heating heats turbulence’ is that the external source S in phase space for heating has its fluctuation in turbulent plasma. This coupling can induce the direct input of heating power into fluctuations. The height of the jump in transport hysteresis is smaller for heavier hydrogen isotopes, and could be one of the origins of isotope effects on confinement. Finally, the impacts of transport hysteresis on the control system are assessed. Control systems must be designed so as to protect the system from sudden plasma loss.

  17. Fasting plasma triglycerides predict the glycaemic response to treatment of type 2 diabetes by gastric electrical stimulation. A novel lipotoxicity paradigm.

    PubMed

    Lebovitz, H E; Ludvik, B; Yaniv, I; Haddad, W; Schwartz, T; Aviv, R

    2013-06-01

    Non-stimulatory, meal-mediated electrical stimulation of the stomach (TANTALUS-DIAMOND) improves glycaemic control and causes modest weight loss in patients with Type 2 diabetes who are inadequately controlled on oral anti-diabetic medications. The magnitude of the glycaemic response in clinical studies has been variable. A preliminary analysis of data from patients who had completed 6 months of treatment indicated that the glycaemic response to the electrical stimulation was inversely related to the baseline fasting plasma triglyceride level. An analysis of 40 patients who had had detailed longitudinal studies for 12 months. Twenty-two patients with fasting plasma triglycerides ≤ 1.7 mmol/l had mean decreases in HbA1c after 3, 6 and 12 months of gastric contraction modulation treatment of -15 ± 2.1 mmol/mol (-1.39 ± 0.20%), -16 ± 2.2 mmol/mol (-1.48 ± 0.20%) and -14 ± 3.0 mmol/mol (-1.31 ± 0.26%), respectively. In contrast, 18 patients with fasting plasma triglyceride > 1.7 mmol/l had mean decreases in HbA1c of -7 ± 1.7 mmol/mol (-0.66 ± 0.16%), -5 ± 1.6 mmol/mol (-0.44 ± 0.18%) and -5 ± 1.7 mmol/mol (-0.42 ± 0.16%), respectively. Pearson's correlation coefficient between fasting plasma triglyceride and decreases in HbA1c at 12 months of treatment was 0.34 (P < 0.05). Homeostasis model assessment of insulin resistance was unchanged during 12 months of treatment in patients with high baseline fasting triglycerides, while it progressively improved in patients with low fasting plasma triglycerides. Patients with low fasting plasma triglycerides had a tendency to lose more weight than those with high fasting plasma triglycerides, but this did not achieve statistical significance. The data presented suggest the existence of a triglyceride lipotoxic mechanism that interferes with gastric/neural mediated pathways that can regulate glycaemic control in patients with type 2 diabetes. The data suggest the existence of a triglyceride lipotoxic pathway that

  18. Fasting plasma triglycerides predict the glycaemic response to treatment of Type 2 diabetes by gastric electrical stimulation. A novel lipotoxicity paradigm

    PubMed Central

    Lebovitz, H E; Ludvik, B; Yaniv, I; Haddad, W; Schwartz, T; Aviv, R

    2013-01-01

    Background Non-stimulatory, meal-mediated electrical stimulation of the stomach (TANTALUS-DIAMOND) improves glycaemic control and causes modest weight loss in patients with Type 2 diabetes who are inadequately controlled on oral anti-diabetic medications. The magnitude of the glycaemic response in clinical studies has been variable. A preliminary analysis of data from patients who had completed 6 months of treatment indicated that the glycaemic response to the electrical stimulation was inversely related to the baseline fasting plasma triglyceride level. Method An analysis of 40 patients who had had detailed longitudinal studies for 12 months. Results Twenty-two patients with fasting plasma triglycerides ≤ 1.7 mmol/l had mean decreases in HbA1c after 3, 6 and 12 months of gastric contraction modulation treatment of −15 ± 2.1 mmol/mol (−1.39 ± 0.20%), −16 ± 2.2 mmol/mol (−1.48 ± 0.20%) and −14 ± 3.0 mmol/mol (−1.31 ± 0.26%), respectively. In contrast, 18 patients with fasting plasma triglyceride > 1.7 mmol/l had mean decreases in HbA1c of −7 ± 1.7 mmol/mol (−0.66 ± 0.16%), −5 ± 1.6 mmol/mol (−0.44 ± 0.18%) and −5 ± 1.7 mmol/mol (−0.42 ± 0.16%), respectively. Pearson's correlation coefficient between fasting plasma triglyceride and decreases in HbA1c at 12 months of treatment was 0.34 (P < 0.05). Homeostasis model assessment of insulin resistance was unchanged during 12 months of treatment in patients with high baseline fasting triglycerides, while it progressively improved in patients with low fasting plasma triglycerides. Patients with low fasting plasma triglycerides had a tendency to lose more weight than those with high fasting plasma triglycerides, but this did not achieve statistical significance. Conclusions The data presented suggest the existance of a triglyceride lipotoxic mechanism that interferes with gastric/neural mediated pathways that can regulate glycaemic control in patients with type 2 diabetes. The data

  19. Association between Inflammation and Biological Variation in Hemoglobin A1c in U.S. Nondiabetic Adults

    PubMed Central

    Liu, Shuqian; Hempe, James M.; McCarter, Robert J.; Li, Shengxu

    2015-01-01

    Context: Inflammation is associated with higher glycated hemoglobin (HbA1c) levels. Whether the relationship is independent of blood glucose concentration remains unclear. Objective: The hemoglobin glycation index (HGI) was used to test the hypothesis that interindividual variation in HbA1c is associated with inflammation. Participants: This study used nondiabetic adults from the National Health and Nutrition Examination Survey (1999–2008). Main Outcome Measures: A subsample of participants was used to estimate the linear regression relationship between HbA1c and fasting plasma glucose (FPG). Predicted HbA1c were calculated for 7323 nondiabetic participants by inserting FPG into the equation, HbA1c = 0.017× FPG (mg/dL) + 3.7. HGI was calculated as the difference between the observed and predicted HbA1c and the population was divided into low, moderate, and high HGI subgroups. Polymorphonuclear leukocytes (PMNL), monocytes, and C-reactive protein (CRP) were used as biomarkers of inflammation. Results: Mean HbA1c, CRP, monocyte, and PMNL levels, but not FPG, progressively increased in the low, moderate, and high HGI subgroups. There were disproportionately more Blacks than whites in the high HGI subgroup. CRP (ß, 0.009; 95% confidence interval [CI], 0.0001–0.017), PMNL (ß, 0.036; 95% CI, 0.010–0.062), and monocyte count (ß, 0.072; 95% CI, 0.041–0.104) were each independent predictors of HGI after adjustment for age, sex, race, triglycerides, hemoglobin level, mean corpuscular volume, red cell distribution width, and obesity status. Conclusions: HGI reflects the effects of inflammation on HbA1c in a nondiabetic population of U.S. adults and may be a marker of risk associated with inflammation independent of FPG, race, and obesity. PMID:25867810

  20. Plasma distribution in Mercury's magnetosphere inferred from MESSENGER Magnetometer and Fast Imaging Plasma Spectrometer observations

    NASA Astrophysics Data System (ADS)

    Korth, H.; Anderson, B. J.; Raines, J. M.; Gershman, D. J.; Slavin, J. A.; Zurbuchen, T.; Solomon, S. C.; McNutt, R. L., Jr.

    2013-12-01

    We present average plasma distributions in Mercury's magnetosphere inferred independently from magnetic field and plasma measurements by the MErcury Surface, Space ENvironment, GEochemistry, and Ranging (MESSENGER) spacecraft. Plasma distributions were derived from magnetic pressure deficits measured during the first 10 months of MESSENGER orbital operations under the assumption of constant total pressure. Statistical distributions of proton flux and pressure were also derived from Fast Imaging Plasma Spectrometer (FIPS) observations during the same period. The pressures inferred from magnetic pressure deficits and the plasma data agree on average, although they differ by a factor of ~2 for individual events. The spatial distributions of magnetic pressure deficits derived from Magnetometer observations compare favorably with the distribution of proton pressure deduced from the FIPS observations. The FIPS distributions provide better statistics than the magnetic depression data in regions where the plasma is more tenuous and magnetic pressure deficits are difficult to identify definitively. The plasma data reveal features not previously identified in the Magnetometer data, such as an enhanced plasma population near the magnetopause flanks indicating entry of magnetosheath plasma into the low-latitude boundary layer of the magnetosphere. On nightside closed field lines, plasma pressures in the south are much greater than they are in the north. Locations of low plasma pressure in the north correspond to sample altitudes that map to southern conjugate locations below the planetary surface. The asymmetry is attributed to particle loss to the southern hemisphere surface during bounce motion in Mercury's magnetic field. The plasma observations confirm the northward offset in the planetary dipole.

  1. Collimated fast electron beam generation in critical density plasma

    SciTech Connect

    Iwawaki, T. Habara, H.; Morita, K.; Tanaka, K. A.; Baton, S.; Fuchs, J.; Chen, S.; Nakatsutsumi, M.; Rousseaux, C.; Filippi, F.; Nazarov, W.

    2014-11-15

    Significantly collimated fast electron beam with a divergence angle 10° (FWHM) is observed when an ultra-intense laser pulse (I = 10{sup 14 }W/cm{sup 2}, 300 fs) irradiates a uniform critical density plasma. The uniform plasma is created through the ionization of an ultra-low density (5 mg/c.c.) plastic foam by X-ray burst from the interaction of intense laser (I = 10{sup 14 }W/cm{sup 2}, 600 ps) with a thin Cu foil. 2D Particle-In-Cell (PIC) simulation well reproduces the collimated electron beam with a strong magnetic field in the region of the laser pulse propagation. To understand the physical mechanism of the collimation, we calculate energetic electron motion in the magnetic field obtained from the 2D PIC simulation. As the results, the strong magnetic field (300 MG) collimates electrons with energy over a few MeV. This collimation mechanism may attract attention in many applications such as electron acceleration, electron microscope and fast ignition of laser fusion.

  2. Association Between the Presence of Iron Deficiency Anemia and Hemoglobin A1c in Korean Adults

    PubMed Central

    Hong, Jae W.; Ku, Cheol R.; Noh, Jung H.; Ko, Kyung S.; Rhee, Byoung D.; Kim, Dong-Jun

    2015-01-01

    Abstract Few studies have investigated the clinical effect of iron deficiency anemia (IDA) on the use of the Hemoglobin A1c (HbA1c) as a screening parameter for diabetes or prediabetes. We investigated the association between IDA and HbA1c levels in Korean adults. Among the 11,472 adults (≥19 years of age) who participated in the 2011–2012 Korea National Health and Nutrition Examination Survey (a cross-sectional and nationally representative survey conducted by the Korean Center for Disease Control for Health Statistics), 807 patients with diabetes currently taking anti-diabetes medications were excluded from this study. We compared the weighted HbA1c levels and weighted proportion (%) of HbA1c levels of ≥5.7%, ≥6.1%, and ≥6.5% according to the range of fasting plasma glucose (FPG) levels and the presence of IDA. Among 10,665 participants (weighted n = 35,229,108), the prevalence of anemia and IDA was 7.3% and 4.3%, respectively. The HbA1c levels were higher in participants with IDA (5.70% ± 0.02%) than in normal participants (5.59% ± 0.01%; P < 0.001), whereas there was no significant difference in FPG levels. In participants with an FPG level of <100 mg/dL and 100 to 125 mg/dL, the weighted HbA1c level was higher in those with IDA (5.59% ± 0.02% and 6.00% ± 0.05%) than in normal participants (5.44% ± 0.01% and 5.82% ± 0.01%) after adjusting for confounders such as age, sex, FPG level, heavy alcohol drinking, waist circumference, and smoking status as well as after exclusion of an estimated glomerular filtration rate of <60 mL/min/1.73 m2 (P < 0.001, <0.01). The weighted proportions (%) of an HbA1c level of ≥5.7% and ≥6.1% were also higher in participants with IDA than in normal participants (P < 0.001, <0.05). However, the weighted HbA1c levels in individuals with an FPG level ≥126 mg/dL and a weighted proportion (%) of an HbA1c level of ≥6.5% showed no significant differences according to

  3. Fasting plasma glucose levels and coronary artery calcification in subjects with impaired fasting glucose.

    PubMed

    Eun, Young-Mi; Kang, Sung-Goo; Song, Sang-Wook

    2016-01-01

    Prediabetes is associated with an increased risk of cardiovascular disease (CVD). While the association of impaired glucose tolerance with CVD has been shown in many studies, the relationship between impaired fasting glucose (IFG) and CVD remains unclear. The purpose of this study was to compare the coronary artery calcium (CAC) scores of participants with normal fasting glucose versus those with IFG, according to fasting plasma glucose (FPG) levels, and to assess whether differences in CAC scores were independent of important confounders. Retrospective study. Health Promotion Center of the University Hospital (Gyeonggi-do, South Korea), during the period 2010-2014. Participants were enrolled from the general population who visited for a medical check-up. CAC was assessed in asymptomatic individuals by multidetector computed tomography. Anthropometric parameters and metabolic profiles were also recorded. Subjects were divided into four fasting glucose groups. Participants with a history of CVD or diabetes mellitus were excluded. Correlation between FPG and CAC scores, CAC score categories, and association between CAC score and FPG categories. Of 1112 participants, 346 (34.2%) had a CAC score > 0. FPG values in the IFG patients were positively but weakly correlated with CAC scores (r=0.099, P=.001). The incidence of CAC differed according to FPG level (P < .001) and in Kruskal-Wallis test the mean CAC score differed by FPG group (P < .001). After adjustment for other factors in a multiple logistic regression analysis, those subjects with FPG >=110 mg/dL had a significantly higher risk of CAC than did subjects with normal fasting glucose (110.

  4. Simulation of laser-plasma interactions and fast-electron transport in inhomogeneous plasma

    SciTech Connect

    Cohen, B.I. Kemp, A.J.; Divol, L.

    2010-06-20

    A new framework is introduced for kinetic simulation of laser-plasma interactions in an inhomogeneous plasma motivated by the goal of performing integrated kinetic simulations of fast-ignition laser fusion. The algorithm addresses the propagation and absorption of an intense electromagnetic wave in an ionized plasma leading to the generation and transport of an energetic electron component. The energetic electrons propagate farther into the plasma to much higher densities where Coulomb collisions become important. The high-density plasma supports an energetic electron current, return currents, self-consistent electric fields associated with maintaining quasi-neutrality, and self-consistent magnetic fields due to the currents. Collisions of the electrons and ions are calculated accurately to track the energetic electrons and model their interactions with the background plasma. Up to a density well above critical density, where the laser electromagnetic field is evanescent, Maxwell's equations are solved with a conventional particle-based, finite-difference scheme. In the higher-density plasma, Maxwell's equations are solved using an Ohm's law neglecting the inertia of the background electrons with the option of omitting the displacement current in Ampere's law. Particle equations of motion with binary collisions are solved for all electrons and ions throughout the system using weighted particles to resolve the density gradient efficiently. The algorithm is analyzed and demonstrated in simulation examples. The simulation scheme introduced here achieves significantly improved efficiencies.

  5. Hybrid Simulation of Laser-Plasma Interactions and Fast Electron Transport in Inhomogeneous Plasma

    SciTech Connect

    Cohen, B I; Kemp, A; Divol, L

    2009-05-27

    A new framework is introduced for kinetic simulation of laser-plasma interactions in an inhomogenous plasma motivated by the goal of performing integrated kinetic simulations of fast-ignition laser fusion. The algorithm addresses the propagation and absorption of an intense electromagnetic wave in an ionized plasma leading to the generation and transport of an energetic electron component. The energetic electrons propagate farther into the plasma to much higher densities where Coulomb collisions become important. The high-density plasma supports an energetic electron current, return currents, self-consistent electric fields associated with maintaining quasi-neutrality, and self-consistent magnetic fields due to the currents. Collisions of the electrons and ions are calculated accurately to track the energetic electrons and model their interactions with the background plasma. Up to a density well above critical density, where the laser electromagnetic field is evanescent, Maxwell's equations are solved with a conventional particle-based, finite-difference scheme. In the higher-density plasma, Maxwell's equations are solved using an Ohm's law neglecting the inertia of the background electrons with the option of omitting the displacement current in Ampere's law. Particle equations of motion with binary collisions are solved for all electrons and ions throughout the system using weighted particles to resolve the density gradient efficiently. The algorithm is analyzed and demonstrated in simulation examples. The simulation scheme introduced here achieves significantly improved efficiencies.

  6. The Electron and ion Plasma Experiment for Fast

    NASA Astrophysics Data System (ADS)

    Carlson, C. W.; McFadden, J. P.; Turin, P.; Curtis, D. W.; Magoncelli, A.

    2001-08-01

    The ion and electron plasma experiment on the Fast Auroral Snapshot satellite (FAST) is designed to measure pitch-angle distributions of suprathermal auroral electrons and ions with high sensitivity, wide dynamic range, good energy and angular resolution, and exceptional time resolution. These measurements support the primary scientific goal of the FAST mission to understand the physical processes responsible for auroral particle acceleration and heating, and associated wave-particle interactions. The instrument includes a complement of 8 pairs of `Top Hat' electrostatic analyzer heads with microchannel plate (MCP) electron multipliers and discrete anodes to provide angle resolved measurements. The analyzers are packaged in four instrument stacks, each containing four analyzers. These four stacks are equally spaced around the spacecraft spin plane. Analyzers mounted on opposite sides of the spacecraft operate in pairs such that their individual 180° fields of view combine to give an unobstructed 360° field of view in the spin plane. The earth's magnetic field is within a few degrees of the spin plane during most auroral crossings, so the time resolution for pitch-angle distribution measurements is independent of the spacecraft spin period. Two analyzer pairs serve as electron and ion spectrometers that obtain distributions of 48 energies at 32 angles every 78 ms. Their standard energy ranges are 4 eV to 32 keV for electrons and 3 eV to 24 keV for ions. These sensors also have deflection plates that can track the magnetic field direction within 10° of the spin plane to resolve narrow, magnetic field-aligned beams of electrons and ions. The remaining six analyzer pairs collectively function as an electron spectrograph, resolving distributions with 16 contiguous pitch-angle bins and a selectable trade-off of energy and time resolution. Two examples of possible operating modes are a maximum time resolution mode with 16 angles and 6 energies every 1.63 ms, or a

  7. A distinct metabolic signature predicts development of fasting plasma glucose

    PubMed Central

    2012-01-01

    Background High blood glucose and diabetes are amongst the conditions causing the greatest losses in years of healthy life worldwide. Therefore, numerous studies aim to identify reliable risk markers for development of impaired glucose metabolism and type 2 diabetes. However, the molecular basis of impaired glucose metabolism is so far insufficiently understood. The development of so called 'omics' approaches in the recent years promises to identify molecular markers and to further understand the molecular basis of impaired glucose metabolism and type 2 diabetes. Although univariate statistical approaches are often applied, we demonstrate here that the application of multivariate statistical approaches is highly recommended to fully capture the complexity of data gained using high-throughput methods. Methods We took blood plasma samples from 172 subjects who participated in the prospective Metabolic Syndrome Berlin Potsdam follow-up study (MESY-BEPO Follow-up). We analysed these samples using Gas Chromatography coupled with Mass Spectrometry (GC-MS), and measured 286 metabolites. Furthermore, fasting glucose levels were measured using standard methods at baseline, and after an average of six years. We did correlation analysis and built linear regression models as well as Random Forest regression models to identify metabolites that predict the development of fasting glucose in our cohort. Results We found a metabolic pattern consisting of nine metabolites that predicted fasting glucose development with an accuracy of 0.47 in tenfold cross-validation using Random Forest regression. We also showed that adding established risk markers did not improve the model accuracy. However, external validation is eventually desirable. Although not all metabolites belonging to the final pattern are identified yet, the pattern directs attention to amino acid metabolism, energy metabolism and redox homeostasis. Conclusions We demonstrate that metabolites identified using a high

  8. A distinct metabolic signature predicts development of fasting plasma glucose.

    PubMed

    Hische, Manuela; Larhlimi, Abdelhalim; Schwarz, Franziska; Fischer-Rosinský, Antje; Bobbert, Thomas; Assmann, Anke; Catchpole, Gareth S; Pfeiffer, Andreas Fh; Willmitzer, Lothar; Selbig, Joachim; Spranger, Joachim

    2012-02-02

    High blood glucose and diabetes are amongst the conditions causing the greatest losses in years of healthy life worldwide. Therefore, numerous studies aim to identify reliable risk markers for development of impaired glucose metabolism and type 2 diabetes. However, the molecular basis of impaired glucose metabolism is so far insufficiently understood. The development of so called 'omics' approaches in the recent years promises to identify molecular markers and to further understand the molecular basis of impaired glucose metabolism and type 2 diabetes. Although univariate statistical approaches are often applied, we demonstrate here that the application of multivariate statistical approaches is highly recommended to fully capture the complexity of data gained using high-throughput methods. We took blood plasma samples from 172 subjects who participated in the prospective Metabolic Syndrome Berlin Potsdam follow-up study (MESY-BEPO Follow-up). We analysed these samples using Gas Chromatography coupled with Mass Spectrometry (GC-MS), and measured 286 metabolites. Furthermore, fasting glucose levels were measured using standard methods at baseline, and after an average of six years. We did correlation analysis and built linear regression models as well as Random Forest regression models to identify metabolites that predict the development of fasting glucose in our cohort. We found a metabolic pattern consisting of nine metabolites that predicted fasting glucose development with an accuracy of 0.47 in tenfold cross-validation using Random Forest regression. We also showed that adding established risk markers did not improve the model accuracy. However, external validation is eventually desirable. Although not all metabolites belonging to the final pattern are identified yet, the pattern directs attention to amino acid metabolism, energy metabolism and redox homeostasis. We demonstrate that metabolites identified using a high-throughput method (GC-MS) perform well in

  9. The performance of risk scores and hemoglobin A1c to find undiagnosed diabetes with isolated postload hyperglycemia.

    PubMed

    Li, Hung-Yuan; Lin, Mao-Shin; Shih, Shyang-Rong; Hua, Cyue-Huei; Liu, Yu-Lai; Chuang, Lee-Ming; Sung, Fung-Chang; Chen, Ming-Fong; Lee, Jin-Chuan; Chiao, Ching-Hsiang; Wei, Jung-Nan

    2011-01-01

    The aim of this study is to develop strategies to screen diabetic subjects with isolated postload hyperglycemia (IPH) in Chinese population. We included 1175 adult subjects who did not report diabetes were included. Diabetes was diagnosed by oral glucose tolerance tests. IPH was defined as fasting plasma glucose (FPG)<7 mmol/l and 2-hour post-load plasma glucose (2hPG) greater than 11.1 mmol/l. Using FPG criteria, only 59.8% of diabetic subjects were not identified, showing a poor agreement between FPG and 2hPG criteria (kappa 0.294). Age, FPG, total cholesterol, triglycerides, blood pressure, body mass index, HbA1c and medication for hypertension were associated factors for IPH. Four scores were constructed using all these factors, age and blood test results, age and HbA1c, and data from non-invasive examinations, respectively. The area under the ROC curve were 0.9296(95%CI 0.8948-0.9643), 0.9111(95%CI 0.8713-0.9508), 0.8902(95%CI 0.8341-0.9646), 0.8924(95%CI 0.7835-0.8753), and 0.8654(95%CI 0.7963-0.9345) for score 1, 2, 3, 4, and HbA1c, respectively. The sensitivity of all four risk scores to detect IPH was better than that of impaired fasting glucose (IFG). The sensitivity and specificity of HbA1c at cutoff 6.2% for detecting IPH was also better than that of IFG. In conclusion, the risk scores and HbA1c are useful to identify subjects with undiagnosed IPH, with better performance than IFG.

  10. Optimizing Dense Plasma Focus Neutron Yields with Fast Gas Jets

    NASA Astrophysics Data System (ADS)

    McMahon, Matthew; Kueny, Christopher; Stein, Elizabeth; Link, Anthony; Schmidt, Andrea

    2016-10-01

    We report a study using the particle-in-cell code LSP to perform fully kinetic simulations modeling dense plasma focus (DPF) devices with high density gas jets on axis. The high density jet models fast gas puffs which allow for more mass on axis while maintaining the optimal pressure for the DPF. As the density of the jet compared to the background fill increases we find the neutron yield increases, as does the variability in the neutron yield. Introducing perturbations in the jet density allow for consistent seeding of the m =0 instability leading to more consistent ion acceleration and higher neutron yields with less variability. Jets with higher on axis density are found to have the greatest yield. The optimal jet configuration is explored. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  11. Dense magnetized plasma associated with a fast radio burst

    NASA Astrophysics Data System (ADS)

    Masui, Kiyoshi; Lin, Hsiu-Hsien; Sievers, Jonathan; Anderson, Christopher J.; Chang, Tzu-Ching; Chen, Xuelei; Ganguly, Apratim; Jarvis, Miranda; Kuo, Cheng-Yu; Li, Yi-Chao; Liao, Yu-Wei; McLaughlin, Maura; Pen, Ue-Li; Peterson, Jeffrey B.; Roman, Alexander; Timbie, Peter T.; Voytek, Tabitha; Yadav, Jaswant K.

    2015-12-01

    Fast radio bursts are bright, unresolved, non-repeating, broadband, millisecond flashes, found primarily at high Galactic latitudes, with dispersion measures much larger than expected for a Galactic source. The inferred all-sky burst rate is comparable to the core-collapse supernova rate out to redshift 0.5. If the observed dispersion measures are assumed to be dominated by the intergalactic medium, the sources are at cosmological distances with redshifts of 0.2 to 1 (refs 10 and 11). These parameters are consistent with a wide range of source models. One fast burst revealed circular polarization of the radio emission, but no linear polarization was detected, and hence no Faraday rotation measure could be determined. Here we report the examination of archival data revealing Faraday rotation in the fast radio burst FRB 110523. Its radio flux and dispersion measure are consistent with values from previously reported bursts and, accounting for a Galactic contribution to the dispersion and using a model of intergalactic electron density, we place the source at a maximum redshift of 0.5. The burst has a much higher rotation measure than expected for this line of sight through the Milky Way and the intergalactic medium, indicating magnetization in the vicinity of the source itself or within a host galaxy. The pulse was scattered by two distinct plasma screens during propagation, which requires either a dense nebula associated with the source or a location within the central region of its host galaxy. The detection in this instance of magnetization and scattering that are both local to the source favours models involving young stellar populations such as magnetars over models involving the mergers of older neutron stars, which are more likely to be located in low-density regions of the host galaxy.

  12. Dense magnetized plasma associated with a fast radio burst.

    PubMed

    Masui, Kiyoshi; Lin, Hsiu-Hsien; Sievers, Jonathan; Anderson, Christopher J; Chang, Tzu-Ching; Chen, Xuelei; Ganguly, Apratim; Jarvis, Miranda; Kuo, Cheng-Yu; Li, Yi-Chao; Liao, Yu-Wei; McLaughlin, Maura; Pen, Ue-Li; Peterson, Jeffrey B; Roman, Alexander; Timbie, Peter T; Voytek, Tabitha; Yadav, Jaswant K

    2015-12-24

    Fast radio bursts are bright, unresolved, non-repeating, broadband, millisecond flashes, found primarily at high Galactic latitudes, with dispersion measures much larger than expected for a Galactic source. The inferred all-sky burst rate is comparable to the core-collapse supernova rate out to redshift 0.5. If the observed dispersion measures are assumed to be dominated by the intergalactic medium, the sources are at cosmological distances with redshifts of 0.2 to 1 (refs 10 and 11). These parameters are consistent with a wide range of source models. One fast burst revealed circular polarization of the radio emission, but no linear polarization was detected, and hence no Faraday rotation measure could be determined. Here we report the examination of archival data revealing Faraday rotation in the fast radio burst FRB 110523. Its radio flux and dispersion measure are consistent with values from previously reported bursts and, accounting for a Galactic contribution to the dispersion and using a model of intergalactic electron density, we place the source at a maximum redshift of 0.5. The burst has a much higher rotation measure than expected for this line of sight through the Milky Way and the intergalactic medium, indicating magnetization in the vicinity of the source itself or within a host galaxy. The pulse was scattered by two distinct plasma screens during propagation, which requires either a dense nebula associated with the source or a location within the central region of its host galaxy. The detection in this instance of magnetization and scattering that are both local to the source favours models involving young stellar populations such as magnetars over models involving the mergers of older neutron stars, which are more likely to be located in low-density regions of the host galaxy.

  13. Fast reconnection in relativistic plasmas: the magnetohydrodynamics tearing instability revisited

    NASA Astrophysics Data System (ADS)

    Del Zanna, L.; Papini, E.; Landi, S.; Bugli, M.; Bucciantini, N.

    2016-08-01

    Fast reconnection operating in magnetically dominated plasmas is often invoked in models for magnetar giant flares, for magnetic dissipation in pulsar winds, or to explain the gamma-ray flares observed in the Crab nebula; hence, its investigation is of paramount importance in high-energy astrophysics. Here we study, by means of two-dimensional numerical simulations, the linear phase and the subsequent non-linear evolution of the tearing instability within the framework of relativistic resistive magnetohydrodynamics (MHD), as appropriate in situations where the Alfvén velocity approaches the speed of light. It is found that the linear phase of the instability closely matches the analysis in classical MHD, where the growth rate scales with the Lundquist number S as S-1/2, with the only exception of an enhanced inertial term due to the thermal and magnetic energy contributions. In addition, when thin current sheets of inverse aspect ratio scaling as S-1/3 are considered, the so-called ideal tearing regime is retrieved, with modes growing independently of S and extremely fast, on only a few light crossing times of the sheet length. The overall growth of fluctuations is seen to solely depend on the value of the background Alfvén velocity. In the fully non-linear stage, we observe an inverse cascade towards the fundamental mode, with Petschek-type supersonic jets propagating at the external Alfvén speed from the X-point, and a fast reconnection rate at the predicted value {R}˜ (ln S)^{-1}.

  14. Fast electron heating of dense plasma relevant to shock ignition

    NASA Astrophysics Data System (ADS)

    Fox, T. E.; Robinson, A. P. L.; Pasley, J.

    2013-10-01

    With an intensity in the range of 1016 W/cm2, the ignitor pulse in shock-ignition inertial confinement fusion is well above the threshold of parametric instabilities. Simulations (e.g. Klimo et al. 2011 Phys. Plasmas 18, 082709) indicate that a significant amount of energy will be deposited in energetic electrons with energies <100 keV and it has been proposed that these may play a beneficial role in enhancing the ignitor shock. Simulations by Gus'kov et al. (Phys. Rev. Lett. 109, 255004 (2012)) show that, under shock-ignition relevant conditions, a mono-energetic electron beam can drive strong shocks in a uniform plasma. We extend this study to the more realistic case of a Maxwellian energy distribution in the fast electron population. Having a distribution of electron mean-free-paths results in a more extended heating profile compared to a mono-energetic beam. However, we show it is still possible to launch strong shocks in this more realistic scenario and achieve equivalent pressures. The peak pressures achieved compare well with analytic scalings. We thank AWE for their financial assistance in support of the doctoral research of T. E. F.

  15. Intense Laser Plasma Interactions on the Road to Fast Ignition

    NASA Astrophysics Data System (ADS)

    van Woerkom, Linn

    2007-11-01

    Successful Fast Ignition (FI) offers the prospect of reduced laser driver energy and greater energy gain, which enhances the possibilities for realistic Inertial Confinement Fusion (ICF) energy power plants. The interaction of high intensity laser pulses with hot dense plasma lies at the core of the FI concept. At the most basic level FI relies on converting high energy, high intensity laser light into a beam of electrons which must propagate for 10's to ˜100 microns and deposit their energy in the compressed fuel. Thus, the process may be divided into two critical processes: 1) the generation of energetic electrons from the laser-matter interaction, and 2) the transport of energetic electrons through hot dense plasma. Experiments to date have only explored part of the FI relevant parameter space concerning laser energy, intensity, pulse duration, and transport of MeV particles. With the approach of first light on OMEGA EP and then NIF ARC, the field is poised to make crucial measurements that will determine the requirements for full scale FI. This talk will present recent results from high intensity laser-cone interactions that help pave the way to the next generation of experiments.

  16. Effects of sex, age, and fasting conditions on plasma lipidomic profiles of fasted Sprague-Dawley rats.

    PubMed

    Saito, Kosuke; Ishikawa, Masaki; Murayama, Mayumi; Urata, Masayo; Senoo, Yuya; Toyoshima, Katsuko; Kumagai, Yuji; Maekawa, Keiko; Saito, Yoshiro

    2014-01-01

    Circulating lipid molecules reflect biological processes in the body and, thus, are useful tools for preclinical estimation of the efficacy and safety of newly developed drugs. However, background information on profiles of circulating lipid molecules in preclinical animal models is limited. Therefore, we examined the effects of multiple factors such as sex (fasted male vs. female), age (fasted 10 vs. 30 weeks old), and feeding conditions (feeding vs. fasting, 16 vs. 22 hr fasting, 10 AM vs. 4 PM blood collection), on the global profiles of lipid molecules in plasma from Sprague-Dawley rats by using a lipidomic approach. Our assay platform determined 262 lipid molecules (68 phospholipids, 20 sphingolipids, 138 neutral lipids, and 36 polyunsaturated fatty acids and their metabolites) in rat plasma. Multivariate discriminant analysis (orthogonal partial least squares discriminant analysis) and heat maps of statistically significant lipid molecules revealed that the plasma lipid profiles in rats are predominantly influenced by feeding conditions, followed by sex and age. In addition, the fasting duration (16 vs. 22 hr fasting) or the time of blood collection (10 AM vs. 4 PM blood collection) has limited or no contribution on the profiles of lipid molecules in rat plasma. Our results provide useful, fundamental information for exploring and validating biomarkers in future preclinical studies and may help to establish regulatory standards for such studies.

  17. Effects of Sex, Age, and Fasting Conditions on Plasma Lipidomic Profiles of Fasted Sprague-Dawley Rats

    PubMed Central

    Saito, Kosuke; Ishikawa, Masaki; Murayama, Mayumi; Urata, Masayo; Senoo, Yuya; Toyoshima, Katsuko; Kumagai, Yuji; Maekawa, Keiko; Saito, Yoshiro

    2014-01-01

    Circulating lipid molecules reflect biological processes in the body and, thus, are useful tools for preclinical estimation of the efficacy and safety of newly developed drugs. However, background information on profiles of circulating lipid molecules in preclinical animal models is limited. Therefore, we examined the effects of multiple factors such as sex (fasted male vs. female), age (fasted 10 vs. 30 weeks old), and feeding conditions (feeding vs. fasting, 16 vs. 22 hr fasting, 10 AM vs. 4 PM blood collection), on the global profiles of lipid molecules in plasma from Sprague-Dawley rats by using a lipidomic approach. Our assay platform determined 262 lipid molecules (68 phospholipids, 20 sphingolipids, 138 neutral lipids, and 36 polyunsaturated fatty acids and their metabolites) in rat plasma. Multivariate discriminant analysis (orthogonal partial least squares discriminant analysis) and heat maps of statistically significant lipid molecules revealed that the plasma lipid profiles in rats are predominantly influenced by feeding conditions, followed by sex and age. In addition, the fasting duration (16 vs. 22 hr fasting) or the time of blood collection (10 AM vs. 4 PM blood collection) has limited or no contribution on the profiles of lipid molecules in rat plasma. Our results provide useful, fundamental information for exploring and validating biomarkers in future preclinical studies and may help to establish regulatory standards for such studies. PMID:25375860

  18. [Age and sex variations of HbA(1C) in a French population without known diabetes aged 6 to 79 years].

    PubMed

    Gusto, Gaëlle; Vol, Sylviane; Born, Catherine; Balkau, Beverley; Lamy, Jocelyne; Bourderioux, Christiane; Lantieri, Olivier; Tichet, Jean

    2011-01-01

    HbA(1C) is being used for screening and diagnosing diabetes. We determined mean values of HbA(1C) according to age and sex in a large population without known diabetes, in a wide age range 6-79  years. 5,138 men and women without known diabetes aged 6-79  years participated in a routine health examination provided by their medical insurance. HbA(1C) was assessed on an HPLC analyzer aligned with a DCCT method. HbA(1C) was approximately normally distributed in both men and women. Mean (SD) HbA(1C) were, for men vs women, in percentages 5.3 (0.4) vs 5.2 (0.3), in mmol/mol 34 (5) vs 34 (4) and in estimated blood glucose in mmol/L 5.83 (0.67) vs 5.75 (0.53). HbA(1C) increased with age by 0.08% every 10  years and this was attenuated to a 0.04% increase after adjustment on fasting plasma glucose. Between 15 and 49  years, women had lower values than men (p < 0.0001), but no sex differences were observed before and after this age range. In our population, 0.6% had HbA(1C) greater or equal to 6.5% and 88% (96% of men and 73% of women) of them had fasting plasma glucose greater or equal to 6,1 mmol/L. Threshold of 6.0% selected 2.8% of our population.

  19. Fast molecular tracking maps nanoscale dynamics of plasma membrane lipids

    PubMed Central

    Sahl, Steffen J.; Leutenegger, Marcel; Hilbert, Michael; Hell, Stefan W.; Eggeling, Christian

    2010-01-01

    We describe an optical method capable of tracking a single fluorescent molecule with a flexible choice of high spatial accuracy (∼10–20 nm standard deviation or ∼20–40 nm full-width-at-half-maximum) and temporal resolution (< 1 ms). The fluorescence signal during individual passages of fluorescent molecules through a spot of excitation light allows the sequential localization and thus spatio-temporal tracking of the molecule if its fluorescence is collected on at least three separate point detectors arranged in close proximity. We show two-dimensional trajectories of individual, small organic dye labeled lipids diffusing in the plasma membrane of living cells and directly observe transient events of trapping on < 20 nm spatial scales. The trapping is cholesterol-assisted and much more pronounced for a sphingo- than for a phosphoglycero-lipid, with average trapping times of ∼15 ms and < 4 ms, respectively. The results support previous STED nanoscopy measurements and suggest that, at least for nontreated cells, the transient interaction of a single lipid is confined to macromolecular dimensions. Our experimental approach demonstrates that fast molecular movements can be tracked with minimal invasion, which can reveal new important details of cellular nano-organization. PMID:20351247

  20. Serum Uric Acid Levels were Dynamically Coupled with Hemoglobin A1c in the Development of Type 2 Diabetes

    NASA Astrophysics Data System (ADS)

    Wei, Fengjiang; Chang, Baocheng; Yang, Xilin; Wang, Yaogang; Chen, Liming; Li, Wei-Dong

    2016-06-01

    The aim of the study was to decipher the relationship between serum uric acid (SUA) and glycated hemoglobin A1c (HbA1c) or fasting plasma glucose (FPG) in both type 2 diabetes mellitus (T2DM) patients and normal subjects. A total of 2,250 unrelated T2DM patients and 4,420 Han Chinese subjects from a physical examination population were recruited for this study. In T2DM patients SUA levels were negatively correlated with HbA1c (rs = ‑0.109, P = 0.000) and 2 h plasma glucose levels (rs = ‑0.178, P = 0.000). In the physical examination population, SUA levels were inversely correlated with HbA1c (rs = ‑0.175, P = 0.000) and FPG (rs = ‑0.131, P = 0.009) in T2DM patients but positively correlated with HbA1c (rs = 0.040, P = 0.012) and FPG (rs = 0.084, P = 0.000) in normal-glucose subjects. Multivariate analyses showed that HbA1c was significantly negatively associated with HUA both in T2DM patients (OR = 0.872, 95% CI: 0.790~0.963) and in the physical examination T2DM patients (OR = 0.722, 95% CI: 0.539~0.968). Genetic association studies in T2DM patients showed that alleles of two glucose-uric acid transporter genes, ABCG2 and SLC2A9 were significantly associated with SUA levels (P < 0.05). SUA level is inversely correlated with HbA1c in T2DM patients but positively correlated with HbA1c in normal-glucose subjects. The reverse transporting of uric acid and glucose in renal tubules might be accounted for these associations.

  1. Fast Plasma Instrument for MMS: Data Compression Simulation Results

    NASA Astrophysics Data System (ADS)

    Barrie, A.; Adrian, M. L.; Yeh, P.; Winkert, G.; Lobell, J.; Vinas, A. F.; Simpson, D. G.

    2009-12-01

    Magnetospheric Multiscale (MMS) mission will study small-scale reconnection structures and their rapid motions from closely spaced platforms using instruments capable of high angular, energy, and time resolution measurements. To meet these requirements, the Fast Plasma Instrument (FPI) consists of eight (8) identical half top-hat electron sensors and eight (8) identical ion sensors and an Instrument Data Processing Unit (IDPU). The sensors (electron or ion) are grouped into pairs whose 6° x 180° fields-of-view (FOV) are set 90° apart. Each sensor is equipped with electrostatic aperture steering to allow the sensor to scan a 45° x 180° fan about the its nominal viewing (0° deflection) direction. Each pair of sensors, known as the Dual Electron Spectrometer (DES) and the Dual Ion Spectrometer (DIS), occupies a quadrant on the MMS spacecraft and the combination of the eight electron/ion sensors, employing aperture steering, image the full-sky every 30-ms (electrons) and 150-ms (ions), respectively. To probe the diffusion regions of reconnection, the highest temporal/spatial resolution mode of FPI results in the DES complement of a given spacecraft generating 6.5-Mb s-1 of electron data while the DIS generates 1.1-Mb s-1 of ion data yielding an FPI total data rate of 6.6-Mb s-1. The FPI electron/ion data is collected by the IDPU then transmitted to the Central Data Instrument Processor (CIDP) on the spacecraft for science interest ranking. Only data sequences that contain the greatest amount of temporal/spatial structure will be intelligently down-linked by the spacecraft. Currently, the FPI data rate allocation to the CIDP is 1.5-Mb s-1. Consequently, the FPI-IDPU must employ data/image compression to meet this CIDP telemetry allocation. Here, we present updated simulations of the CCSDS 122.0-B-1 algorithm-based compression of the FPI-DES electron data as well as the FPI-DIS ion data. Compression analysis is based upon a seed of re-processed Cluster

  2. Measuring the plasma environment at Mercury: The fast imaging plasma spectrometer

    NASA Astrophysics Data System (ADS)

    Koehn, P. L.; Zurbuchen, T. H.; Gloeckler, G.; Lundgren, R. A.; Fisk, L. A.

    2002-09-01

    The plasma environment at Mercury is a rich laboratory for studying the interaction of the solar wind with a planet. Three primary populations of ions exist at Mercury: solar wind, magnetospheric and pickup ions. These pickup ions are generated through the ionization of Mercury's exosphere or are sputtered particles from the Mercury surface. A comprehensive mission to Mercury, such as MESSENGER, should include a sensor that is able to determine the dynamical properties and composition of all these plasma components. An instrument to measure the composition of these ion populations and their three dimensional velocity distribution functions must be lightweight, fast, and have a very large field of view. The Fast Imaging Plasma Spectrometer (FIPS) is an imaging mass spectrometer, part of NASA's MESSENGER mission, the first Mercury orbiter. This versatile instrument has a very small footprint, and has a mass that is about one order of magnitude less than other comparable systems. It maintains a nearly full-hemisphere field of view, suitable for either spinning or three-axis-stabilized platforms. The major piece of innovation to enable this sensor is a new deflection system geometry that enables a large instantaneous (~1.5() field of view. This novel electrostatic analyzer system is then combined with a position sensitive time-of-flight system. We discuss the design and prototype tests of the FIPS deflection system and show how this system is expected to address one key problem in Mercury science, that of the nature of the radar-bright regions at the Hermean poles.

  3. Plasma turbulence measured with fast frequency swept reflectometry in JET H-mode plasmas

    NASA Astrophysics Data System (ADS)

    Clairet, F.; Sirinelli, A.; Meneses, L.; Contributors, JET

    2016-12-01

    In this work we present recent achievements to provide precise measurements of turbulence on JET H-mode plasmas using frequency sweeping reflectometry diagnostic. The plasma density fluctuations retrieved from swept reflected signals, first initiated with the Tore Supra reflectometry (Heuraux et al 2003 Rev. Sci. Instrum. 74 1501, Vermare et al 2006 Nucl. Fusion 46 S743, Gerbaud et al 2006 Rev. Sci. Instrum. 77 10E928), provides a radial profile of the density fluctuation level and its spectral structure. Using the complete set of the JET X-mode fast sweeping heterodyne reflectometers we have determined the temporal dynamic of the density fluctuation profile from the edge to the center during an H-mode discharge. At the L-H transition, the turbulence reduction seems to occur, at first, simultaneously from the edge to the center then deepens at the edge at ρ ~ 0.95 and this deepening propagates toward the center with a steepening of the wavenumber spectra. During an edge localized mode (ELM) event, a substantial density fluctuations increase has been observed with a localized turbulent wave front propagating toward the center accompanying a particle transport. We also show that type-III ELMs sustain a steady and high level of plasma turbulence compare to type-I.

  4. Evaluation of the Interference of Hemoglobin Variant J-Bangkok on Glycated Hemoglobin (HbA1c) Measurement by Five Different Methods.

    PubMed

    Wen, Dong-Mei; Xu, Sheng-Nan; Wang, Wei-Jia; Zhang, Xiu-Ming; Suo, Ming-Huan; Zhang, De-Cai

    2017-09-20

    Objective The interference of the hemoglobin variant (Hb J-Bangkok) was evaluated on 4 different glycated hemoglobin assays and compared with a reference immuno assay. Methods An overall test of coincidence of 2 least-squares linear regression lines was performed to determine whether the presence of Hb J-Bangkok caused a statistically significant difference in HbA1c results compared with a reference immuno assay. Statistical analysis was performed on the difference of the estimated average glucose calculated from HbA1c values and fasting plasma glucose in the Hb J-Bangkok variant group using the different detection systems. Deming regression analysis was used to determinate whether Hb J-Bangkok had a significant interference on HbA1c results using an HbA1c±10% relative bias at 6% and 9% HbA1c as evaluation limits. Results Turbidimetric inhibition immunoassay method, and enzymatic methods were not affected by Hb J-Bangkok. However, Hb J-Bangkok showed statistically significant interference to the two ion-exchange high-performance liquid chromatography methods. Conclusion When performing HbA1c tests, clinical laboratory personnel should identify the Hb variant and select the appropriate methods or use alternative indicators. © Georg Thieme Verlag KG Stuttgart · New York.

  5. Fasting plasma triglyceride concentration: A possible approach to identify increased risk of statin-induced type 2 diabetes.

    PubMed

    Sung, Ki-Chul; Reaven, Gerald

    2015-09-01

    To evaluate the hypothesis that measurement of fasting plasma triglyceride concentration identifies individuals at enhanced risk of statin-induced type 2 diabetes mellitus. A retrospective analysis of data collected from routine health examinations in non-diabetic, East Asian individuals (n = 5790) with low-density lipoprotein cholesterol concentrations of ⩾3.4 mmol/L. Subjects were stratified into those with or without a triglyceride concentration of ⩾1.7 mmol/L, and comparisons made of risk factors for type 2 diabetes mellitus. Approximately 40% of men and 20% of women with elevations of both low-density lipoprotein cholesterol and triglyceride concentrations were more insulin resistant (homeostatic model assessment of insulin resistance), associated with higher plasma concentrations of HbA1c, glucose and insulin. Apparently, healthy, non-diabetic East Asian men and women with combined elevations of low-density lipoprotein cholesterol and triglyceride concentrations are glucose intolerant and insulin resistant, and thereby at enhanced risk of type 2 diabetes mellitus. Measurement of plasma triglyceride concentration can identify within a hypercholesterolemic population a subset of individuals at enhanced risk of statin-induced type 2 diabetes mellitus. © The Author(s) 2015.

  6. Diagnostic efficiency of hemoglobin A1c for newly diagnosed diabetes and prediabetes in community-based Chinese adults aged 40 years or older.

    PubMed

    Liang, Kai; Sun, Yu; Li, Wen-juan; Zhang, Xiu-ping; Li, Cheng-qiao; Yang, Wei-fang; Ma, Ze-qiang; Ma, Ai-xia; Zheng, Hui-zhen; Song, Jun; Lin, Peng; Hou, Xin-guo; Chen, Li

    2014-12-01

    Europeans and Americans are gradually accepting the hemoglobin A1c (HbA1c) threshold of 6.5% for diagnosing diabetes proposed by the American Diabetes Association, but the cutoff of HbA1c for the Chinese population is unclear. We evaluated the diagnostic efficiency of HbA1c for diagnosing newly diagnosed diabetes and prediabetes in community-based Chinese adults 40 years of age or older. In this study 8,239 subjects (5,496 women) 40-90 years of age underwent HbA1c and oral glucose tolerance test measurement after an overnight fast. Diabetes and prediabetes were defined by the World Health Organization criteria. The area under the receiver operating characteristic curve (AUC) was used to evaluate the diagnostic efficiency of HbA1c, and the optimal cutoff was defined as the point on the receiver operating characteristic curve with the largest Youden index. Spearman correlation was used for correlation analysis. The prevalence of newly diagnosed diabetes and prediabetes was 10.7% (880/8,239) and 19.0% (1,564/8,239), respectively. Fasting plasma glucose and postprandial plasma glucose were positively correlated with HbA1c level (r=0.725 and r=0.673, both P<0.001, respectively). For diagnosing diabetes, the AUC was 0.857 (95% confidence interval, 0.841-0.873), and the optimal cutoff for HbA1c was 6.3%, with the largest Youden index being 0.581. For diagnosing prediabetes, the AUC was 0.681 (95% confidence interval, 0.666-0.697), and the optimal cutoff for HbA1c was 5.9%, with the largest Youden index being 0.280. An HbA1c threshold of 6.3% was highly valuable for diagnosing newly diagnosed diabetes, and a value of 5.9% was weakly valuable for diagnosing prediabetes in community-based Chinese adults 40 years of age or older.

  7. One-Hour Postload Hyperglycemia Confers Higher Risk of Hepatic Steatosis to HbA1c-Defined Prediabetic Subjects.

    PubMed

    Fiorentino, Teresa Vanessa; Andreozzi, Francesco; Mannino, Gaia Chiara; Pedace, Elisabetta; Perticone, Maria; Sciacqua, Angela; Perticone, Francesco; Sesti, Giorgio

    2016-11-01

    Individuals with glycated hemoglobin (HbA1c)-defined prediabetes (HbA1c value of 5.7-6.4%) and 1-hour plasma glucose ≥155 mg/dL during an oral glucose tolerance test have an increased risk of developing type 2 diabetes. To evaluate the degree to which HbA1c-defined prediabetes and 1-hour postload glucose ≥155 mg/dL individually and jointly associate with hepatic steatosis and related biomarkers. A cross-sectional analysis was performed on 1108 White individuals. Ambulatory care. Anthropometric and metabolic characteristics including hepatic steatosis assessed by ultrasonography. Compared with the normal group (HbA1c <5.7%), HbA1c-defined prediabetic and diabetic individuals exhibit higher values of fasting, 1-hour, and 2-hour postload glucose; fasting and 2-hour postload insulin; triglycerides; uric acid; homeostasis model of assessment for insulin resistance; liver insulin resistance index; liver enzymes; and inflammatory biomarkers; and lower levels of high-density lipoprotein cholesterol and IGF-1. Prediabetic and diabetic subjects have increased risk of hepatic steatosis (1.5- and 2.46-fold, respectively). Stratifying participants according to HbA1c and 1-hour postload glucose, we found that individuals with HbA1c-defined prediabetes and 1-hour postload glucose ≥155 mg/dL have significantly higher risk of hepatic steatosis as compared with individuals with HbA1c-defined prediabetes but 1-hour postload glucose <155 mg/dL. Individuals with HbA1c-defined prediabetes and 1-hour postload glucose ≥155 mg/dL exhibit higher values of liver enzymes; fasting, 1-hour, and 2-hour postload glucose; insulin; triglycerides; uric acid; and inflammatory biomarkers; and lower levels of high-density lipoprotein and IGF-1. These data suggest that a value of 1-hour postload glucose ≥155 mg/dL may be helpful to identify a subset of individuals within HbA1c-defined glycemic categories at higher risk of hepatic steatosis.

  8. Fast Plasma Instrument for MMS: Data Compression Simulation Results

    NASA Technical Reports Server (NTRS)

    Barrie, A.; Adrian, Mark L.; Yeh, P.-S.; Winkert, G. E.; Lobell, J. V.; Vinas, A.F.; Simpson, D. J.; Moore, T. E.

    2008-01-01

    Magnetospheric Multiscale (MMS) mission will study small-scale reconnection structures and their rapid motions from closely spaced platforms using instruments capable of high angular, energy, and time resolution measurements. To meet these requirements, the Fast Plasma Instrument (FPI) consists of eight (8) identical half top-hat electron sensors and eights (8) identical ion sensors and an Instrument Data Processing Unit (IDPU). The sensors (electron or ion) are grouped into pairs whose 6 deg x 180 deg fields-of-view (FOV) are set 90 deg apart. Each sensor is equipped with electrostatic aperture steering to allow the sensor to scan a 45 deg x 180 deg fan about its nominal viewing (0 deg deflection) direction. Each pair of sensors, known as the Dual Electron Spectrometer (DES) and the Dual Ion Spectrometer (DIS), occupies a quadrant on the MMS spacecraft and the combination of the eight electron/ion sensors, employing aperture steering, image the full-sky every 30-ms (electrons) and 150-ms (ions), respectively. To probe the results in the DES complement of a given spacecraft generating 6.5-Mbs(exp -1) of electron data while the DIS generates 1.1-Mbs(exp -1) of ion data yielding an FPI total data rate of 6.6-MBs(exp -1). The FPI electron/ion data is collected by the IDPU then transmitted to the Central Data Instrument Processor (CIDP) on the spacecraft for science interest ranking. Only data sequences that contain the greatest amount of temporal/spatial structure will be intelligently down-linked by the spacecraft. Currently, the FPI data rate allocation to the CIDP is 1.5-Mbs(exp -1). Consequently, the FPI-IDPU must employ data/image compression to meet this CIDP telemetry allocation. Here, we present simulations of the CCSDS 122.0-B-1 algorithm-based compression of the FPI-DES electron data. Compression analysis is based upon a seed of re-processed Cluster/PEACE electron measurements. Topics to be discussed include: review of compression algorithm; data quality

  9. Fast Plasma Instrument for MMS: Data Compression Simulation Results

    NASA Technical Reports Server (NTRS)

    Barrie, A.; Adrian, Mark L.; Yeh, P.-S.; Winkert, G. E.; Lobell, J. V.; Vinas, A.F.; Simpson, D. J.; Moore, T. E.

    2008-01-01

    Magnetospheric Multiscale (MMS) mission will study small-scale reconnection structures and their rapid motions from closely spaced platforms using instruments capable of high angular, energy, and time resolution measurements. To meet these requirements, the Fast Plasma Instrument (FPI) consists of eight (8) identical half top-hat electron sensors and eights (8) identical ion sensors and an Instrument Data Processing Unit (IDPU). The sensors (electron or ion) are grouped into pairs whose 6 deg x 180 deg fields-of-view (FOV) are set 90 deg apart. Each sensor is equipped with electrostatic aperture steering to allow the sensor to scan a 45 deg x 180 deg fan about its nominal viewing (0 deg deflection) direction. Each pair of sensors, known as the Dual Electron Spectrometer (DES) and the Dual Ion Spectrometer (DIS), occupies a quadrant on the MMS spacecraft and the combination of the eight electron/ion sensors, employing aperture steering, image the full-sky every 30-ms (electrons) and 150-ms (ions), respectively. To probe the results in the DES complement of a given spacecraft generating 6.5-Mbs(exp -1) of electron data while the DIS generates 1.1-Mbs(exp -1) of ion data yielding an FPI total data rate of 6.6-MBs(exp -1). The FPI electron/ion data is collected by the IDPU then transmitted to the Central Data Instrument Processor (CIDP) on the spacecraft for science interest ranking. Only data sequences that contain the greatest amount of temporal/spatial structure will be intelligently down-linked by the spacecraft. Currently, the FPI data rate allocation to the CIDP is 1.5-Mbs(exp -1). Consequently, the FPI-IDPU must employ data/image compression to meet this CIDP telemetry allocation. Here, we present simulations of the CCSDS 122.0-B-1 algorithm-based compression of the FPI-DES electron data. Compression analysis is based upon a seed of re-processed Cluster/PEACE electron measurements. Topics to be discussed include: review of compression algorithm; data quality

  10. Fast Plasma Instrument for MMS: Data Compression Simulation Results

    NASA Astrophysics Data System (ADS)

    Barrie, A. C.; Adrian, M. L.; Yeh, P.; Winkert, G. E.; Lobell, J. V.; Viňas, A. F.; Simpson, D. G.; Moore, T. E.

    2008-12-01

    Magnetospheric Multiscale (MMS) mission will study small-scale reconnection structures and their rapid motions from closely spaced platforms using instruments capable of high angular, energy, and time resolution measurements. To meet these requirements, the Fast Plasma Instrument (FPI) consists of eight (8) identical half top-hat electron sensors and eight (8) identical ion sensors and an Instrument Data Processing Unit (IDPU). The sensors (electron or ion) are grouped into pairs whose 6° × 180° fields-of-view (FOV) are set 90° apart. Each sensor is equipped with electrostatic aperture steering to allow the sensor to scan a 45° × 180° fan about the its nominal viewing (0° deflection) direction. Each pair of sensors, known as the Dual Electron Spectrometer (DES) and the Dual Ion Spectrometer (DIS), occupies a quadrant on the MMS spacecraft and the combination of the eight electron/ion sensors, employing aperture steering, image the full-sky every 30-ms (electrons) and 150-ms (ions), respectively. To probe the diffusion regions of reconnection, the highest temporal/spatial resolution mode of FPI results in the DES complement of a given spacecraft generating 6.5-Mb s-1 of electron data while the DIS generates 1.1-Mb s-1 of ion data yielding an FPI total data rate of 7.6-Mb s-1. The FPI electron/ion data is collected by the IDPU then transmitted to the Central Data Instrument Processor (CIDP) on the spacecraft for science interest ranking. Only data sequences that contain the greatest amount of temporal/spatial structure will be intelligently down-linked by the spacecraft. Currently, the FPI data rate allocation to the CIDP is 1.5-Mb s-1. Consequently, the FPI-IDPU must employ data/image compression to meet this CIDP telemetry allocation. Here, we present simulations of the CCSDS 122.0-B-1 algorithm- based compression of the FPI-DES electron data. Compression analysis is based upon a seed of re- processed Cluster/PEACE electron measurements. Topics to be

  11. Spectroscopic interpretation and velocimetry analysis of fluctuations in a cylindrical plasma recorded by a fast camera

    SciTech Connect

    Oldenbuerger, S.; Brandt, C.; Brochard, F.; Lemoine, N.; Bonhomme, G.

    2010-06-15

    Fast visible imaging is used on a cylindrical magnetized argon plasma produced by thermionic discharge in the Mirabelle device. To link the information collected with the camera to a physical quantity, fast camera movies of plasma structures are compared to Langmuir probe measurements. High correlation is found between light fluctuations and plasma density fluctuations. Contributions from neutral argon and ionized argon to the overall light intensity are separated by using interference filters and a light intensifier. Light emitting transitions are shown to involve a metastable neutral argon state that can be excited by thermal plasma electrons, thus explaining the good correlation between light and density fluctuations. The propagation velocity of plasma structures is calculated by adapting velocimetry methods to the fast camera movies. The resulting estimates of instantaneous propagation velocity are in agreement with former experiments. The computation of mean velocities is discussed.

  12. Fast magnetic field penetration into low resistivity plasma

    NASA Astrophysics Data System (ADS)

    Fruchtman, Amnon

    2017-02-01

    Penetration of a magnetic field into plasma that is faster than resistive diffusion can be induced by the Hall electric field in a non-uniform plasma. This mechanism explained successfully the measured velocity of the magnetic field penetration into pulsed plasmas. Major related issues have not yet been resolved. Such is the theoretically predicted, but so far not verified experimentally, high magnetic energy dissipation, as well as the correlation between the directions of the density gradient and of the field penetration.

  13. Utility of hemoglobin A(1c) for diagnosing prediabetes and diabetes in obese children and adolescents.

    PubMed

    Nowicka, Paulina; Santoro, Nicola; Liu, Haibei; Lartaud, Derek; Shaw, Melissa M; Goldberg, Rachel; Guandalini, Cindy; Savoye, Mary; Rose, Paulina; Caprio, Sonia

    2011-06-01

    Hemoglobin A(1c) (A1C) has emerged as a recommended diagnostic tool for identifying diabetes and subjects at risk for the disease. This recommendation is based on data in adults showing the relationship between A1C with future development of diabetes and microvascular complications. However, studies in the pediatric population are lacking. We studied a multiethnic cohort of 1,156 obese children and adolescents without a diagnosis of diabetes (male, 40%/female, 60%). All subjects underwent an oral glucose tolerance test (OGTT) and A1C measurement. These tests were repeated after a follow-up time of ∼2 years in 218 subjects. At baseline, subjects were stratified according to A1C categories: 77% with normal glucose tolerance (A1C <5.7%), 21% at risk for diabetes (A1C 5.7-6.4%), and 1% with diabetes (A1C >6.5%). In the at risk for diabetes category, 47% were classified with prediabetes or diabetes, and in the diabetes category, 62% were classified with type 2 diabetes by the OGTT. The area under the curve receiver operating characteristic for A1C was 0.81 (95% CI 0.70-0.92). The threshold for identifying type 2 diabetes was 5.8%, with 78% specificity and 68% sensitivity. In the subgroup with repeated measures, a multivariate analysis showed that the strongest predictors of 2-h glucose at follow-up were baseline A1C and 2-h glucose, independently of age, ethnicity, sex, fasting glucose, and follow-up time. The American Diabetes Association suggested that an A1C of 6.5% underestimates the prevalence of prediabetes and diabetes in obese children and adolescents. Given the low sensitivity and specificity, the use of A1C by itself represents a poor diagnostic tool for prediabetes and type 2 diabetes in obese children and adolescents.

  14. Utility of Hemoglobin A1c for Diagnosing Prediabetes and Diabetes in Obese Children and Adolescents

    PubMed Central

    Nowicka, Paulina; Santoro, Nicola; Liu, Haibei; Lartaud, Derek; Shaw, Melissa M.; Goldberg, Rachel; Guandalini, Cindy; Savoye, Mary; Rose, Paulina; Caprio, Sonia

    2011-01-01

    OBJECTIVE Hemoglobin A1c (A1C) has emerged as a recommended diagnostic tool for identifying diabetes and subjects at risk for the disease. This recommendation is based on data in adults showing the relationship between A1C with future development of diabetes and microvascular complications. However, studies in the pediatric population are lacking. RESEARCH DESIGN AND METHODS We studied a multiethnic cohort of 1,156 obese children and adolescents without a diagnosis of diabetes (male, 40%/female, 60%). All subjects underwent an oral glucose tolerance test (OGTT) and A1C measurement. These tests were repeated after a follow-up time of ∼2 years in 218 subjects. RESULTS At baseline, subjects were stratified according to A1C categories: 77% with normal glucose tolerance (A1C <5.7%), 21% at risk for diabetes (A1C 5.7–6.4%), and 1% with diabetes (A1C >6.5%). In the at risk for diabetes category, 47% were classified with prediabetes or diabetes, and in the diabetes category, 62% were classified with type 2 diabetes by the OGTT. The area under the curve receiver operating characteristic for A1C was 0.81 (95% CI 0.70–0.92). The threshold for identifying type 2 diabetes was 5.8%, with 78% specificity and 68% sensitivity. In the subgroup with repeated measures, a multivariate analysis showed that the strongest predictors of 2-h glucose at follow-up were baseline A1C and 2-h glucose, independently of age, ethnicity, sex, fasting glucose, and follow-up time. CONCLUSIONS The American Diabetes Association suggested that an A1C of 6.5% underestimates the prevalence of prediabetes and diabetes in obese children and adolescents. Given the low sensitivity and specificity, the use of A1C by itself represents a poor diagnostic tool for prediabetes and type 2 diabetes in obese children and adolescents. PMID:21515842

  15. Fast ion beta limit measurements by collimated neutron detection in MST plasmas

    NASA Astrophysics Data System (ADS)

    Capecchi, William; Anderson, Jay; Bonofiglo, Phillip; Kim, Jungha; Sears, Stephanie

    2015-11-01

    Fast ion orbits in the reversed field pinch (RFP) are well ordered and classically confined despite magnetic field stochasticity generated by multiple tearing modes. Classical TRANSP modeling of a 1MW tangentially injected hydrogen neutral beam in MST deuterium plasmas predicts a core-localized fast ion density that can be up to 25% of the electron density and a fast ion beta of many times the local thermal beta. However, neutral particle analysis of an NBI-driven mode (presumably driven by a fast ion pressure gradient) shows mode-induced transport of core-localized fast ions and a saturated fast ion density. The TRANSP modeling is presumed valid until the onset of the beam-driven mode and gives an initial estimate of the volume-averaged fast ion beta of 1-2% (local core value up to 10%). A collimated neutron detector for fusion product profile measurements will be used to determine the spatial distribution of fast ions, allowing for a first measurement of the critical fast-ion pressure gradient required for mode destabilization. Testing/calibration data and initial fast-ion profiles will be presented. Characterization of both the local and global fast ion beta will be done for deuterium beam injection into deuterium plasmas for comparison to TRANSP predictions. Work supported by US DOE.

  16. Heating a plasma by a broadband stream of fast electrons: Fast ignition, shock ignition, and Gbar shock wave applications

    SciTech Connect

    Gus’kov, S. Yu.; Nicolai, Ph.; Ribeyre, X.; Tikhonchuk, V. T.

    2015-09-15

    An exact analytic solution is found for the steady-state distribution function of fast electrons with an arbitrary initial spectrum irradiating a planar low-Z plasma with an arbitrary density distribution. The solution is applied to study the heating of a material by fast electrons of different spectra such as a monoenergetic spectrum, a step-like distribution in a given energy range, and a Maxwellian spectrum, which is inherent in laser-produced fast electrons. The heating of shock- and fast-ignited precompressed inertial confinement fusion (ICF) targets as well as the heating of a target designed to generate a Gbar shock wave for equation of state (EOS) experiments by laser-produced fast electrons with a Maxwellian spectrum is investigated. A relation is established between the energies of two groups of Maxwellian fast electrons, which are responsible for generation of a shock wave and heating the upstream material (preheating). The minimum energy of the fast and shock igniting beams as well as of the beam for a Gbar shock wave generation increases with the spectral width of the electron distribution.

  17. Does Iron Deficiency Anaemia and its Severity Influence HbA1C Level in Non Diabetics? An Analysis of 150 Cases

    PubMed Central

    Ganapathy, Shivashekar; Arunachalam, Sundaram; Raja, Veena; Ramraj, Balaji

    2017-01-01

    Introduction Anaemia has a high prevalence having great impact worldwide and potentially contributing to the pathogenesis of various chronic diseases. Approximately 1/3rd of patients with anaemia have iron deficiency. American Diabetes Association (ADA) has affirmed Glycated Haemoglobin (HbA1C) ≥ 6.5% as a diagnostic criterion for Diabetes Mellitus (DM). Variation of HbA1C in Iron Deficiency Anaemia (IDA) has clashing results. Aim To decide the impact of IDA on HbA1C levels among non diabetics. To assess and analyse the variation of HbA1C according to the degree of anaemia (mild, moderate and severe). Materials and Methods This cross-sectional study was carried out in SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu from February 2016 to October 2016 and approved by our Institutional Ethical Committee. Totally 150 non diabetics (75 with IDA and 75 without IDA) were included in this study. Medical history was recorded and HbA1C, Haemoglobin (Hb), Haematocrit (Hct), red cell indices, serum iron, ferritin and Fasting Plasma Glucose (FPG) were tested. Results The IDA patients in this study had a mean HbA1C (6.84±0.07%) which was higher than the non anaemic group (5.12±0.04%) and this difference was statistically significant (p< 0.05). HbA1C level was increased when severity of anaemia worsened. Also, noteworthy statistical significance was observed between no anaemia, mild, moderate and severe anaemia (p< 0.05). Conclusion In this study, we observed a positive correlation between IDA and elevated HbA1C level in non-diabetic population.

  18. GLYCATED ALBUMIN AT 4 WEEKS CORRELATES WITH A1C LEVELS AT 12 WEEKS AND REFLECTS SHORT-TERM GLUCOSE FLUCTUATIONS

    PubMed Central

    Desouza, Cyrus V.; Rosenstock, Julio; Zhou, Rong; Holcomb, Richard G.; Fonseca, Vivian A.

    2016-01-01

    Objective Evaluate the performance of glycated albumin (GA) monitoring by comparing it to other measures of glycemic control during intensification of antidiabetic therapy. Methods This 12-week, prospective, multicenter study compared the diagnostic clinical performance of GA to glycated hemoglobin A1C (A1C), fructosamine corrected for albumin (FRA), fasting plasma glucose (FPG), and mean blood glucose (MBG) estimated from self-monitoring of blood glucose (SMBG) and continuous glucose monitoring (CGM) in 30 patients with suboptimally controlled type 1 or 2 diabetes. Results Mean A1C decreased from 9.5% to 8.1%. Mean SMBG correlated closely with CGM (Pearson r = 0.783 for daily estimates and r = 0.746 for weekly estimates, P<.0001). Both GA and FRA levels significantly correlated with changes from baseline in A1C and mean weekly SMBG (P<.001).The lowest observed median GA occurred at 4 weeks, followed by a small increase and then a slight reduction, mirroring changes in overall mean SMBG values. The median A1C fell throughout the treatment period, failing to reflect short-term changes in SMBG. A ≥1% reduction in GA at 4 weeks was significantly associated with a ≥0.5% change in A1C at 12 weeks (odds ratio [OR] = 19.0, 95% confidence interval [CI]: 1.4, 944, P = .018). Conclusion In patients receiving glucose-lowering therapy, changes in GA at 4 weeks were concordant with changes in A1C at 12 weeks, and both GA and FRA more accurately reflected short-term blood glucose fluctuations than A1C. PMID:26214108

  19. Impact of HbA1c criterion on the definition of glycemic component of the metabolic syndrome: the China health and nutrition survey 2009.

    PubMed

    Sun, Xingxing; Du, Tingting; Huo, Rui; Yu, Xuefeng; Xu, Lixian

    2013-11-05

    In 2009, a unified definition of metabolic syndrome (MetS) was proposed, of which, the glycemic component is defined on the basis of fasting plasma glucose (FPG) level. Recently, the American Diabetes Association (ADA) recommended the use of glycated hemoglobin (HbA1c) as an alternative to FPG to define prediabetes. Hence, we aim to compare the performance of HbA1c and FPG in the definition of glycemic component of the MetS among Chinese adults. We conducted a cross-sectional analysis of 7641 Chinese participants aged ≥18 years using data from the China Health and Nutrition Survey 2009. MetS was defined according to the consensus criteria in 2009. We compared the use of HbA1c versus FPG in the definition of the glycemic component of MetS. Increased HbA1c value was defined following the criterion of HbA1c cut-off point of ≥5.7% recommended by the ADA. Overall, 1136 (14.9%) had MetS according to FPG ≥ 5.6 mmol/l, and 1640 (21.5%) had MetS according to HbA1c ≥ 5.7%. Compared with individuals with FPG-based diagnosis of MetS, individuals with HbA1c-based diagnosis of MetS were older, had higher levels of LDL-C, magnesium, and transferrin, and lower levels of uric acid. Of those found to have MetS according to either FPG or HbA1c (n = 2008), overlap between HbA1c- and FPG-based diagnosis of MetS was limited (n = 768, 38.2%). The overlap index regarding MetS diagnosed by FPG or HbA1c persisted low in each evaluated subgroup (≤ 50.0%). We note limited overlap and poor agreement between FPG- and HbA1c-based diagnosis of MetS. Screening MetS through introduction of HbA1c in addition to FPG could contribute to identification of more people with MetS.

  20. Hemoglobin variants detected by hemoglobin A1c (HbA1c) analysis and the effects on HbA1c measurements.

    PubMed

    Nasir, Nadzimah Mohd; Thevarajah, M; Yean, Chew Yee

    2010-04-01

    Hemoglobin (Hb) A1c is a tool widely used to monitor long-term glycemic control in diabetic patients. The objective of our study is to compare the HbA1c values measured on high performance liquid chromatography (HPLC) and immunoassay in patients who were detected to have hemoglobin variant after HbA1c analysis. We compared the HbA1c values measured using the Arkray Adams A1c HA-8160 (HPLC method) and Roche Cobas Integra (immunoturbidimetric method) from diabetic patients who were diagnosed with hemoglobin variants. Forty-three diabetic patients were diagnosed with hemoglobin variants: 13 elevated Hb F, 12 Hb E trait, seven Hb S trait, seven Hb D trait, two Hb E / beta-Thalassemia, one Hb C trait, and one homozygous Hb S. Knowledge of hemoglobin variants affecting HbA1c measurements is essential, in order to avoid mismanagement of diabetic patients.

  1. Accelerated ions from pulsed-power-driven fast plasma flow in perpendicular magnetic field

    SciTech Connect

    Takezaki, Taichi Takahashi, Kazumasa; Sasaki, Toru Harada, Nob.; Kikuchi, Takashi

    2016-06-15

    To understand the interaction between fast plasma flow and perpendicular magnetic field, we have investigated the behavior of a one-dimensional fast plasma flow in a perpendicular magnetic field by a laboratory-scale experiment using a pulsed-power discharge. The velocity of the plasma flow generated by a tapered cone plasma focus device is about 30 km/s, and the magnetic Reynolds number is estimated to be 8.8. After flow through the perpendicular magnetic field, the accelerated ions are measured by an ion collector. To clarify the behavior of the accelerated ions and the electromagnetic fields, numerical simulations based on an electromagnetic hybrid particle-in-cell method have been carried out. The results show that the behavior of the accelerated ions corresponds qualitatively to the experimental results. Faster ions in the plasma flow are accelerated by the induced electromagnetic fields modulated with the plasma flow.

  2. Gas dynamic theory of flight of fast electron flux in plasma

    NASA Astrophysics Data System (ADS)

    Melnik, V. N.

    The one-dimensional flight of a fast electron flux in plasma is investigated taking into account generation and absorption of plasma waves. The transition from the kinetic description to the gas dynamics is made. The closed set of gas dynamic equations for electrons and plasmons is derived and an automodel solution is obtained in the case of instantaneous injection. This solution represents the beam-plasma formation on natural oscillations in the system electrons+plasmons is considered.

  3. Methods, units and quality requirements for the analysis of haemoglobin A1c in diabetes mellitus.

    PubMed

    Penttilä, Ilkka; Penttilä, Karri; Holm, Päivi; Laitinen, Harri; Ranta, Päivi; Törrönen, Jukka; Rauramaa, Rainer

    2016-06-26

    The formation of glycohemoglobin, especially the hemoglobin A1c (HbA1c) fraction, occurs when glucose becomes coupled with the amino acid valine in the β-chain of Hb; this reaction is dependent on the plasma concentration of glucose. Since the early 1970s it has been known that diabetics display higher values OF HbA1C because they have elevated blood glucose concentrations. Thus HbA1c has acquired a very important role in the treatment and diagnosis of diabetes mellitus. After the introduction of the first quantitative measurement OF HbA1C, numerous methods for glycohemoglobin have been introduced with different assay principles: From a simple mini-column technique to the very accurate automated high-pressure chromatography and lastly to many automated immunochemical or enzymatic assays. In early days, the results of the quality control reports for HbA1c varied extensively between laboratories, therefore in United States and Canada working groups (WG) of the Diabetes Controls and Complications Trial (DCCT) were set up to standardize the HbA1c assays against the DCCT/National Glycohemoglobin Standardization Program reference method based on liquid chromatography. In the 1990s, the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) appointed a new WG to plan a reference preparation and method for the HBA1c measurement. When the reference procedures were established, in 2004 IFCC recommended that all manufacturers for equipment used in HbA1c assays should calibrate their methods to their proposals. This led to an improvement in the coefficient of variation (CV%) associated with the assay. In this review, we describe the glycation of Hb, methods, standardization of the HbA1c assays, analytical problems, problems with the units in which HbA1c values are expressed, reference values, quality control aspects, target requirements for HbA1c, and the relationship of the plasma glucose values to HbA1c concentrations. We also note that the acceptance

  4. Methods, units and quality requirements for the analysis of haemoglobin A1c in diabetes mellitus

    PubMed Central

    Penttilä, Ilkka; Penttilä, Karri; Holm, Päivi; Laitinen, Harri; Ranta, Päivi; Törrönen, Jukka; Rauramaa, Rainer

    2016-01-01

    The formation of glycohemoglobin, especially the hemoglobin A1c (HbA1c) fraction, occurs when glucose becomes coupled with the amino acid valine in the β-chain of Hb; this reaction is dependent on the plasma concentration of glucose. Since the early 1970s it has been known that diabetics display higher values OF HbA1C because they have elevated blood glucose concentrations. Thus HbA1c has acquired a very important role in the treatment and diagnosis of diabetes mellitus. After the introduction of the first quantitative measurement OF HbA1C, numerous methods for glycohemoglobin have been introduced with different assay principles: From a simple mini-column technique to the very accurate automated high-pressure chromatography and lastly to many automated immunochemical or enzymatic assays. In early days, the results of the quality control reports for HbA1c varied extensively between laboratories, therefore in United States and Canada working groups (WG) of the Diabetes Controls and Complications Trial (DCCT) were set up to standardize the HbA1c assays against the DCCT/National Glycohemoglobin Standardization Program reference method based on liquid chromatography. In the 1990s, the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) appointed a new WG to plan a reference preparation and method for the HBA1c measurement. When the reference procedures were established, in 2004 IFCC recommended that all manufacturers for equipment used in HbA1c assays should calibrate their methods to their proposals. This led to an improvement in the coefficient of variation (CV%) associated with the assay. In this review, we describe the glycation of Hb, methods, standardization of the HbA1c assays, analytical problems, problems with the units in which HbA1c values are expressed, reference values, quality control aspects, target requirements for HbA1c, and the relationship of the plasma glucose values to HbA1c concentrations. We also note that the acceptance

  5. Optical emission spectroscopy observations of fast pulsed capillary discharge plasmas

    NASA Astrophysics Data System (ADS)

    Avaria, G.; Ruiz, M.; Guzmán, F.; Favre, M.; Wyndham, E. S.; Chuaqui, H.; Bhuyan, H.

    2014-05-01

    We present time resolved optical emission spectroscopic (OES) observations of a low energy, pulsed capillary discharage (PCD). The optical emission from the capillary plasma and plasma jets emitted from the capillary volume was recorded with with a SpectraPro 275 spectrograph, fitted with a MCP gated OMA system, with 15 ns time resolution. The discharge was operated with different gases, including argon, nitrogen, hydrogen and methane, in a repetitive pulsed discharge mode at 10-50 Hz, with, 10-12 kV pulses applied at the cathode side. The time evolution of the electron density was measured using Stark broadening of the Hβ line. Several features of the capillary plasma dynamics, such as ionization growth, wall effects and plasma jet evolution, are inferred from the time evolution of the optical emission.

  6. Fasting reduces plasma proprotein convertase, subtilisin/kexin type 9 and cholesterol biosynthesis in humans

    PubMed Central

    Browning, Jeffrey D.; Horton, Jay D.

    2010-01-01

    Proprotein convertase, subtilisin/kexin type 9 (PCSK9), a key regulator of plasma LDL-cholesterol (LDL-c) and cardiovascular risk, is produced in liver and secreted into plasma where it binds hepatic LDL receptors (LDLR), leading to their degradation. PCSK9 is transcriptionally activated by sterol response element-binding protein (SREBP)-2, a transcription factor that also activates all genes for cholesterol synthesis as well as the LDLR. Here we investigated the relationship between plasma PCSK9 levels and the lathosterol-to-cholesterol ratio, a marker of cholesterol biosynthesis, in 18 healthy subjects during a 48 h fast. In all individuals, plasma PCSK9 levels declined steadily during the fasting period, reaching a nadir at 36 h that was ∼58% lower than levels measured in the fed state (P < 0.001). Similarly, the lathosterol-to-cholesterol ratio declined in parallel with plasma PCSK9 concentrations during the fast, reaching a nadir at 36 h that was ∼28% lower than that measured in the fed state (P = 0.024). In summary, fasting has a marked effect on plasma PCSK9 concentrations, which is mirrored by measures of cholesterol synthesis in humans. Inasmuch as cholesterol synthesis and PCSK9 are both regulated by SREBP-2, these results suggest that plasma PCSK9 levels may serve as a surrogate marker of hepatic SREBP-2 activity in humans. PMID:20716520

  7. Fasting plasma glucose and 5-year incidence of diabetes in the JPHC diabetes study - suggestion for the threshold for impaired fasting glucose among Japanese.

    PubMed

    Noda, Mitsuhiko; Kato, Masayuki; Takahashi, Yoshihiko; Matsushita, Yumi; Mizoue, Tetsuya; Inoue, Manami; Tsugane, Shoichiro; Kadowaki, Takashi

    2010-01-01

    To determine the optimal fasting plasma glucose (FPG) cut-off value which effectively identifies high risk subjects for type 2 diabetes in Japanese, we conducted a population-based prospective study on diabetes as part of the Japan Public Health Center-based Prospective Study and estimated the 5-year incidence of diabetes. The subjects of the analysis of this study were 2,207 Japanese aged 51-70 at baseline from whom a fasting blood sample was collected in both the baseline and the 5-year follow-up surveys and who completed the questionnaires at both times. Diabetes was defined as an FPG value > or = 126 mg/dL (7.0 mmol/L) and/or self-reported diabetes. A total of 125 subjects developed diabetes during the 5 years after the baseline survey, and the incidence rate for a baseline FPG value of 95-99, 100-104, 105-109, 110-114, 115- 119, and 120-125 mg/dL was 6.1, 11.5, 30.3, 52.6, 86.4, and 115.2 per 1,000 person-years, respectively. The results of receiver operating characteristic curve analysis suggested that an FPG value of 102 mg/dL (5.67 mmol/L) was optimal for predicting diabetes during the next 5-years. The cut-off value was similar in both genders and in the 51- to 60-year-old group and 61- to 70-year-old group. Use of hemoglobin A(1c) level > or = 6.1% for an additional diagnostic criterion resulted in a small increment in incidence, but the cut-off value for predicting diabetes was almost the same (101 mg/dL). The results of this study suggested that the cut-off FPG value should be lowered in terms of prediction of type 2 diabetes among Japanese populations.

  8. Dynamical programming based turbulence velocimetry for fast visible imaging of tokamak plasma

    NASA Astrophysics Data System (ADS)

    Banerjee, Santanu; Zushi, H.; Nishino, N.; Mishra, K.; Onchi, T.; Kuzmin, A.; Nagashima, Y.; Hanada, K.; Nakamura, K.; Idei, H.; Hasegawa, M.; Fujisawa, A.

    2015-03-01

    An orthogonal dynamic programming (ODP) based particle image velocimetry (PIV) technique is developed to measure the time resolved flow field of the fluctuating structures at the plasma edge and scrape off layer (SOL) of tokamaks. This non-intrusive technique can provide two dimensional velocity fields at high spatial and temporal resolution from a fast framing image sequence and hence can provide better insights into plasma flow as compared to conventional probe measurements. Applicability of the technique is tested with simulated image pairs. Finally, it is applied to tangential fast visible images of QUEST plasma to estimate the SOL flow in inboard poloidal null-natural divertor configuration. This technique is also applied to investigate the intricate features of the core of the run-away dominated phase following the injection of a large amount of neutrals in the target Ohmic plasma. Development of the ODP-PIV code and its applicability on actual plasma images is reported.

  9. Fast electron generation and transport in a turbulent, magnetized plasma

    SciTech Connect

    Stoneking, Matthew Randall

    1994-05-01

    The nature of fast electron generation and transport in the Madison Symmetric Torus (MST) reversed field pinch (RFP) is investigated using two electron energy analyzer (EEA) probes and a thermocouple calorimeter. The parallel velocity distribution of the fast electron population is well fit by a drifted Maxwellian distribution with temperature of about 100 eV and drift velocity of about 2 x 106 m/s. Cross-calibration of the EEA with the calorimeter provides a measurement of the fast electron perpendicular temperature of 30 eV, much lower than the parallel temperature, and is evidence that the kinetic dynamo mechanism (KDT) is not operative in MST. The fast electron current is found to match to the parallel current at the edge, and the fast electron density is about 4 x 1011 cm-3 independent of the ratio of the applied toroidal electric field to the critical electric field for runaways. First time measurements of magnetic fluctuation induced particle transport are reported. By correlating electron current fluctuations with radial magnetic fluctuations the transported flux of electrons is found to be negligible outside r/a~0.9, but rises the level of the expected total particle losses inside r/a~0.85. A comparison of the measured diffusion coefficient is made with the ausilinear stochastic diffusion coefficient. Evidence exists that the reduction of the transport is due to the presence of a radial ambipolar electric field of magnitude 500 V/m, that acts to equilibrate the ion and electron transport rates. The convective energy transport associated with the measured particle transport is large enough to account for the observed magnetic fluctuation induced energy transport in MST.

  10. Emission of fast non-Maxwellian hydrogen atoms in low-density laboratory plasma

    NASA Astrophysics Data System (ADS)

    Brandt, Christian; Marchuk, Oleksandr; Pospieszczyk, Albrecht; Dickheuer, Sven

    2017-03-01

    The source of strong and broad emission of the Balmer-α line in mixed plasmas of hydrogen (or deuterium) and noble gases in front of metallic surfaces is a subject of controversial discussion of many plasma types. In this work the excitation source of the Balmer lines is investigated by means of optical emission spectroscopy in the plasma device PSI-2. Neutral fast non-Maxwellian hydrogen atoms are produced by acceleration of hydrogen ions towards an electrode immersed into the plasma. By variation of the electrode potential the energy of ions and in turn of reflected fast atoms can be varied in the range of 40-300 eV. The fast atoms in front of the electrode are observed simultaneously by an Echelle spectrometer (0.001 nm/channel) and by an imaging spectrometer (0.01 nm/channel) up to few cm in the plasma. Intense excitation channels of the Balmer lines are observed when hydrogen is mixed with argon or with krypton. Especially in Ar-H and Ar-D mixed plasmas the emission of fast hydrogen atoms is very strong. Intermixing hydrogen with other noble gases (He, Ne or Xe) one observes the same effect however the emission is one order of magnitude less compared to Kr-H or Kr-D plasmas. It is shown, that the key process, impacting this emission, is the binary collision between the fast neutral hydrogen atom and the noble gas atom. Two possible sources of excitation are discussed in details: one is the excitation of hydrogen atoms by argon atoms in the ground state and the second one is the process of the so-called excitation transfer between the metastable states of noble gases and hydrogen. In the latter case the atomic data for excitation of Balmer lines are still not available in literature. Further experimental investigations are required to conclude on the source process of fast atom emission.

  11. Association of Sickle Cell Trait With Hemoglobin A1c in African Americans.

    PubMed

    Lacy, Mary E; Wellenius, Gregory A; Sumner, Anne E; Correa, Adolfo; Carnethon, Mercedes R; Liem, Robert I; Wilson, James G; Sacks, David B; Jacobs, David R; Carson, April P; Luo, Xi; Gjelsvik, Annie; Reiner, Alexander P; Naik, Rakhi P; Liu, Simin; Musani, Solomon K; Eaton, Charles B; Wu, Wen-Chih

    2017-02-07

    Hemoglobin A1c (HbA1c) reflects past glucose concentrations, but this relationship may differ between those with sickle cell trait (SCT) and those without it. To evaluate the association between SCT and HbA1c for given levels of fasting or 2-hour glucose levels among African Americans. Retrospective cohort study using data collected from 7938 participants in 2 community-based cohorts, the Coronary Artery Risk Development in Young Adults (CARDIA) study and the Jackson Heart Study (JHS). From the CARDIA study, 2637 patients contributed a maximum of 2 visits (2005-2011); from the JHS, 5301 participants contributed a maximum of 3 visits (2000-2013). All visits were scheduled at approximately 5-year intervals. Participants without SCT data, those without any concurrent HbA1c and glucose measurements, and those with hemoglobin variants HbSS, HbCC, or HbAC were excluded. Analysis of the primary outcome was conducted using generalized estimating equations (GEE) to examine the association of SCT with HbA1c levels, controlling for fasting or 2-hour glucose measures. Presence of SCT. Hemoglobin A1c stratified by the presence or absence of SCT was the primary outcome measure. The analytic sample included 4620 participants (mean age, 52.3 [SD, 11.8] years; 2835 women [61.3%]; 367 [7.9%] with SCT) with 9062 concurrent measures of fasting glucose and HbA1c levels. In unadjusted GEE analyses, for a given fasting glucose, HbA1c values were statistically significantly lower in those with (5.72%) vs those without (6.01%) SCT (mean HbA1c difference, -0.29%; 95% CI, -0.35% to -0.23%). Findings were similar in models adjusted for key risk factors and in analyses using 2001 concurrent measures of 2-hour glucose and HbA1c concentration for those with SCT (mean, 5.35%) vs those without SCT (mean, 5.65%) for a mean HbA1c difference of -0.30% (95% CI, -0.39% to -0.21%). The HbA1c difference by SCT was greater at higher fasting (P = .02 for interaction) and 2-hour (P = .03) glucose

  12. Communication through a plasma sheet around a fast moving vehicle

    NASA Astrophysics Data System (ADS)

    Sotnikov, V. I.; Mudaliar, S.; Genoni, T.; Rose, D.; Oliver, B. V.; Mehlhorn, T. A.

    2011-10-01

    Investigation of the complicated problem of scattering of electromagnetic waves on turbulent pulsations induced by a sheared flow inside a plasma sheath is important for many applications including communication with hypersonic and re-entry vehicles. Theoretical and computational work aimed at improving the understanding of electromagnetic wave scattering processes in such turbulent plasmas is presented. We analyze excitation of low frequency ion-acoustic type oscillations in a compressible plasma flow with flow velocity shear and influence of such turbulent pulsations on scattering of high frequency electromagnetic waves used for communication purposes. We have appropriately included in our analysis the presence of electron and ion collisions with neutrals as well as electron - ion collisions. Results of numerical solutions for plasma density and electric field perturbations for different velocity profiles have been used in the derived expressions for scattered wave energy and scattering cross section. Work supported by the Air Force Research Laboratory and Air Force Office Of Scientific Research Sandia is a multiprogram laboratory operated by Sandia Corporation, A Lockheed Martin Company, under contract DE-AC04-94AL85000.

  13. Relationship between gestational fasting plasma glucose and neonatal birth weight, prenatal blood pressure and dystocia in pregnant Chinese women.

    PubMed

    Zhu, Min; Cai, Jing; Liu, Shujuan; Huang, Mingwei; Chen, Yao; Lai, Xiaolan; Chen, Yuyu; Zhao, Zhongwen; Wu, Fangzhen; Wu, Dongmei; Miu, Haiyan; Lai, Shenghan; Chen, Gang

    2014-09-01

    Little is known about the optimal cut-off point of fasting plasma glucose for the diagnosis of gestational diabetes mellitus for pregnant Chinese women. This study investigates the relationship between gestational fasting plasma glucose and several variables: neonatal birth weight, prenatal blood pressure and dystocia rate of pregnant women. In this study, we hoped to provide a useful tool to screen gestational diabetes mellitus in pregnant Chinese women. For 1058 pregnant women enrolled in our hospital at pregnancy weeks 22-30, fasting plasma glucose, neonatal birth weight and prenatal blood pressure, as well as dystocia conditions, were examined. We analysed the correlations between the following: gestational fasting plasma glucose and neonatal birth weight; prenatal blood pressure and gestational fasting plasma glucose as well as dystocia rate and gestational fasting plasma glucose group. A modest correlation was observed between gestational fasting plasma glucose and neonatal birth weight (r = 0.093, p = 0.003). The macrosomia rate was smallest when the gestational fasting plasma glucose was in the range 3.51-5.5 mmol/L. Prenatal blood pressure increased linearly with increasing gestational fasting plasma glucose (p = 0.000). There was a significant difference between the dystocia rates in different fasting plasma glucose groups (chi-squared = 13.015, p = 0.043). The results showed that the dystocia rate significantly increased when gestational fasting plasma glucose was >4.9 mmol/L; p = 0.03, OR = 2.156 (95% CI, 1.077-4.318). We suggest that the optimal range of gestational fasting plasma glucose for pregnant Chinese women is in the range 3.5-4.9 mmol/L. Copyright © 2014 John Wiley & Sons, Ltd.

  14. Plasma Concentrations of Digoxin after Oral Administration in the Fasting and Postprandial State

    PubMed Central

    White, R. J.; Chamberlain, D. A.; Howard, M.; Smith, T. W.

    1971-01-01

    After the oral administration of 0·5 mg of digoxin in tablet form to fasting subjects peak plasma levels were reached in 30 to 60 minutes. Levels then fell to reach a plateau at six to eight hours. When the same dose was given after food the peak plasma concentrations were significantly lower, but the concentrations reached in samples obtained from two to eight hours after the dose did not differ appreciably from corresponding samples obtained in the fasting experiments. In a four-week cross-over study of 21 patients on maintenance therapy, digoxin taken regularly in the fasting state produced plasma concentrations similar to those obtained when the drug was taken after meals. The rapid appearance of digoxin in the blood suggests that the oral route of administration is adequate for most patients who require rapid digitalization, and the timing of maintenance dosage in relation to meals is unimportant. PMID:5100372

  15. Effects of α-Thalassemia on HbA1c Measurement.

    PubMed

    Xu, Anping; Ji, Ling; Chen, Weidong; Xia, Yong; Zhou, Yu

    2016-11-01

    α-Thalassemia is a benign condition that is often present in patients with diabetes mellitus. Here, we evaluated the effects of different genotypes α-thalassemia on HbA1c measurement. A total of 189 samples from nondiabetic patients were analyzed. HbA1c analysis was performed by ion-exchange high-performance liquid chromatography, boronate affinity HPLC, immunoassay, and capillary electrophoresis. Fasting glucose, fructosamin, and HbA2 were also performed. All samples were confirmed by genotyping for thalassemia. In patients with two or three functional α-genes, HbA1c values were not significantly different from those of controls (P > 0.05); however, in individuals with α-thalassemia with one functional α-gene (i.e., HbH disease), HbA1c levels were significantly different from those of controls (P < 0.01). HbA1c values were significantly lower in individuals with HbH disease than in control individuals and patients in the other two α-thalassemia groups. For patients with HbH disease, there were no significant differences in the four HbA1c measurement systems (P > 0.05). In this study, HbA1c values in samples from individuals with two or three functional α-genes basically reflected the normal mean blood glucose level, while those in samples from individuals with one functional α-gene did not. © 2016 Wiley Periodicals, Inc.

  16. Fast figuring of large optics by reactive atom plasma

    NASA Astrophysics Data System (ADS)

    Castelli, Marco; Jourdain, Renaud; Morantz, Paul; Shore, Paul

    2012-09-01

    The next generation of ground-based astronomical observatories will require fabrication and maintenance of extremely large segmented mirrors tens of meters in diameter. At present, the large production of segments required by projects like E-ELT and TMT poses time frames and costs feasibility questions. This is principally due to a bottleneck stage in the optical fabrication chain: the final figuring step. State-of-the-art figure correction techniques, so far, have failed to meet the needs of the astronomical community for mass production of large, ultra-precise optical surfaces. In this context, Reactive Atom Plasma (RAP) is proposed as a candidate figuring process that combines nanometer level accuracy with high material removal rates. RAP is a form of plasma enhanced chemical etching at atmospheric pressure based on Inductively Coupled Plasma technology. The rapid figuring capability of the RAP process has already been proven on medium sized optical surfaces made of silicon based materials. In this paper, the figure correction of a 3 meters radius of curvature, 400 mm diameter spherical ULE mirror is presented. This work demonstrates the large scale figuring capability of the Reactive Atom Plasma process. The figuring is carried out by applying an in-house developed procedure that promotes rapid convergence. A 2.3 μm p-v initial figure error is removed within three iterations, for a total processing time of 2.5 hours. The same surface is then re-polished and the residual error corrected again down to λ/20 nm rms. These results highlight the possibility of figuring a metre-class mirror in about ten hours.

  17. Nonlinear m = 1 mode and fast reconnection in collisional plasmas

    SciTech Connect

    Aydemir, A.Y.

    1997-02-01

    Time evolution of the m = 1 resistive kink mode is shown to be compromised of two exponential growth phases separated by a transition period during which the growth becomes temporarily algebraic. A modified Sweet-Parker model that takes into account some of the changes in the geometry of the core plasma and the growing island is offered to explain the departure from the algebraic growth of the early nonlinear phase.

  18. Nonlinear m = 1 Mode and Fast Reconnection in Collisional Plasmas

    NASA Astrophysics Data System (ADS)

    Aydemir, A. Y.

    1997-06-01

    Time evolution of the m = 1 resistive kink mode is shown to be comprised of two exponential growth phases separated by a transition period during which the growth becomes temporarily algebraic. A modified Sweet-Parker model that takes into account some of the changes in the geometry of the core plasma and the growing island is offered to explain the departure from the algebraic growth of the early nonlinear phase.

  19. First experimental demonstration of magnetic-field assisted fast heating of a dense plasma core

    NASA Astrophysics Data System (ADS)

    Fujioka, Shinsuke; Sakata, Shohei; Lee, Seung Ho; Matsuo, Kazuki; Sawada, Hiroshi; Iwasa, Yuki; Law, King Fai Farley; Morita, Hitoki; Kojima, Sadaoki; Abe, Yuki; Yao, Akira; Hata, Masayasu; Johzaki, Tomoyuki; Sunahara, Atsushi; Ozaki, Tetsuo; Sakagami, Hitoshi; Morace, Alessio; Arikawa, Yasunobu; Yogo, Akifumi; Nishimura, Hiroaki; Nakai, Mitsuo; Shiraga, Hiroyuki; Sentoku, Yasuhiko; Nagatomo, Hideo; Azechi, Hiroshi; Firex Project Team

    2016-10-01

    Fast heating of a dense plasma core by an energetic electron beam is being studied on GEKKO-LFEX laser facility. Here, we introduce a laser-driven kilo-tesla external magnetic field to guide the diverging electron beam to the dense plasma core. This involve placing a spherical target in the magnetic field, compressing it with the GEKKO-XII laser beams and then using the LFEX laser beams injected into the dense plasma to generate the electron beam which do the fast heating. Cu-Ka emission is used to visualize transport or heating processes of a dense plasma. X-ray spectrum from a highly ionized Cu ions indicates several keV of the temperature increment induced by the LFEX.

  20. Elevated Fasting Plasma Glucose before Liver Transplantation is Associated with Lower Post-Transplant Survival

    PubMed Central

    Katsura, Emi; Ichikawa, Tatsuki; Taura, Naota; Miyaaki, Hisamitsu; Miuma, Satoshi; Shibata, Hidetaka; Honda, Takuya; Hidaka, Masaaki; Soyama, Akihiko; Takeshima, Fuminao; Eguchi, Susumu; Nakao, Kazuhiko

    2016-01-01

    Background The risk of liver cirrhosis is higher among individuals with diabetes mellitus, and a cirrhotic patient with diabetes may have a poorer prognosis after liver transplantation compared to a patient without diabetes. Thus, we evaluated whether fasting plasma glucose prior to receiving a liver transplant was a prognostic factor for post-transplant survival. Material/Methods Ninety-one patients received a living donor liver transplant between November 2005 and December 2012. Patients were considered diabetic if they were prescribed diabetes medications or had impaired glucose tolerance as measured by an oral glucose tolerance test. Each patient was monitored through December 31, 2013, to evaluate prognosis. Results Fasting plasma glucose of at least 100 mg/dL significantly decreased survival following transplant (52% in the high FPG group compared to 78% in the control group, p=0.04), while postprandial hyperglycemia had no effect on survival. Additionally, overall mortality and the incidence of vascular disease were significantly higher among patients with uncontrolled plasma glucose. Impaired fasting plasma glucose was significantly and inversely associated with overall survival in the univariate and multivariate analyses, while creatinine (at least 1 mg/dL) was inversely associated with survival in the univariate analysis. Conclusions Elevated fasting plasma glucose prior to liver transplantation was inversely associated with post-transplant survival. This effect may be due to underlying microangiopathy as a result of uncontrolled diabetes before transplantation. Our data demonstrated the importance of controlled blood glucose prior to liver transplantation. PMID:27909287

  1. Arbitrary amplitude fast electron-acoustic solitons in three-electron component space plasmas

    SciTech Connect

    Mbuli, L. N.; Maharaj, S. K.; Bharuthram, R.; Singh, S. V.; Lakhina, G. S.

    2016-06-15

    We examine the characteristics of fast electron-acoustic solitons in a four-component unmagnetised plasma model consisting of cool, warm, and hot electrons, and cool ions. We retain the inertia and pressure for all the plasma species by assuming adiabatic fluid behaviour for all the species. By using the Sagdeev pseudo-potential technique, the allowable Mach number ranges for fast electron-acoustic solitary waves are explored and discussed. It is found that the cool and warm electron number densities determine the polarity switch of the fast electron-acoustic solitons which are limited by either the occurrence of fast electron-acoustic double layers or warm and hot electron number density becoming unreal. For the first time in the study of solitons, we report on the coexistence of fast electron-acoustic solitons, in addition to the regular fast electron-acoustic solitons and double layers in our multi-species plasma model. Our results are applied to the generation of broadband electrostatic noise in the dayside auroral region.

  2. Red cell distribution width is associated with hemoglobin A1C elevation, but not glucose elevation.

    PubMed

    Bao, Xue; Wan, Min; Gu, Yeqing; Song, Yanqi; Zhang, Qing; Liu, Li; Meng, Ge; Wu, Hongmei; Xia, Yang; Shi, HongBin; Su, Qian; Fang, Liyun; Yang, Huijun; Yu, Fei; Sun, Shaomei; Wang, Xing; Zhou, Ming; Jia, Qiyu; Song, Kun; Wang, Guolin; Yu, Ming; Niu, Kaijun

    2017-10-01

    To investigate the association between red cell distribution width (RDW) and elevation of glucose/glycated hemoglobin (HbA1c). An analysis was conducted using data from a prospective cohort study of adults. People without prediabetes or diabetes (n=7,795) were followed for a mean of 2.90years (range: 1-7years, 95% confidence interval: 2.86-2.94years). Glucose elevation is defined as fasting glucose levels exceeding 5.6mmol/l, or 2-hour glucose values in the oral glucose tolerance test exceeding 7.8mmol/l. HbA1c elevation is defined as a HbA1c value exceeding a normal limit of 39mmol/mol (5.7%). Adjusted Cox proportional hazards regression models were used to assess the association between RDW quartiles and elevation of HbA1c/glucose. The multiple-adjusted hazard ratios (95% confidence interval) of HbA1c elevation for increased quartiles of RDW were 1.00 (reference), 1.08 (0.89, 1.30), 1.28 (1.07, 1.54), and 1.54 (1.29, 1.85) (P for trend<0.0001). However, no significant association was observed between RDW and blood glucose (fasting and postprandial). Elevated RDW is independently related to future HbA1c elevation, but not to glucose elevation. This suggests that RDW may associate with HbA1c through a non-glycemic way, which should be taken into consideration when using HbA1c as a diagnostic criterion of prediabetes or diabetes. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Association between Alcohol Intake and Hemoglobin A1c in the Korean Adults: The 2011-2013 Korea National Health and Nutrition Examination Survey

    PubMed Central

    Hong, Jae Won; Noh, Jung Hyun; Kim, Dong-Jun

    2016-01-01

    Background Although alcohol consumption is commonly encountered in clinical practice, few studies have investigated the clinical significance of alcohol intake on the use of the hemoglobin A1c (HbA1c) level. Objectives This study was performed to investigate the association between alcohol intake and HbA1c level in the general population. Methods Among the 24,594 participants who participated in the 2011–2013 Korea National Health and Nutrition Examination Survey (KNHANES), 12,923 participants were analyzed in this study. We excluded diabetic patients currently taking antidiabetes medication. We compared the HbA1c level and proportions of patients with an HbA1c level of ≥5.7%, ≥6.1%, and ≥6.5% according to the fasting plasma glucose (FPG) concentration range and the amount of alcohol intake. The average amounts of daily alcohol intake were categorized into three groups: 0 g/day, <30 g/day, ≥30 g/day. Results The mean HbA1c level was 5.65%, and the mean FPG concentration was 95.3 mg/dl. The percentages of patients with an HbA1c level of ≥5.7%, ≥6.1%, and ≥6.5% were 42.6%, 13.4%, and 4.5%, respectively. The average amount of alcohol intake was 12.3 g/day. The percentages of subjects with alcohol intake 0, <30, and ≥ 30 g/day were 16.5%, 69.7%, and 13.8%, respectively. There was a significant positive relationship between alcohol intake and FPG concentration (P < 0.001), the prevalence of impaired fasting glucose (P < 0.001), and the prevalence of diabetes (P < 0.001). However, there was no significant relationship between the alcohol intake and HbA1c level. Overall, the adjusted HbA1c levels decreased across alcohol intake (5.70% ± 0.01%, 5.66% ± 0.01%, and 5.55% ± 0.01%) after adjustment for confounding factors such as age, sex, FPG concentration, college graduation, smoking history, presence of hypertension, waist circumference, serum total cholesterol concentration, serum high-density lipoprotein cholesterol concentration, serum triglyceride

  4. Hemoglobin A1c levels and aortic arterial stiffness: the Cardiometabolic Risk in Chinese (CRC) study.

    PubMed

    Liang, Jun; Zhou, Na; Teng, Fei; Zou, Caiyan; Xue, Ying; Yang, Manqing; Song, Huaidong; Qi, Lu

    2012-01-01

    The American Diabetes Association (ADA) recently published new clinical guidelines in which hemoglobin A1c (HbA1c) was recommended as a diagnostic test for diabetes. The present study was to investigate the association between HbA1c and cardiovascular risk, and compare the associations with fasting glucose and 2-hour oral glucose tolerance test (2 h OGTT). The study samples are from a community-based health examination survey in central China. Carotid-to-femoral pulse wave velocity (cfPWV) and HbA1c were measured in 5,098 men and women. After adjustment for age, sex, and BMI, the levels of HbA1c were significantly associated with an increasing trend of cfPWV in a dose-dependent fashion (P for trend <0.0001). The associations remained significant after further adjustment for blood pressure, heart rate, and lipids (P = 0.004), and the difference in cfPWV between the highest and the lowest quintiles of HbA1c was 0.31 m/s. Fasting glucose and 2 h OGTT were not associated with cfPWV in the multivariate analyses. HbA1c showed additive effects with fasting glucose or 2 h OGTT on cfPWV. In addition, age and blood pressure significantly modified the associations between HbA1c and cfPWV (P for interactions <0.0001 for age; and  = 0.019 for blood pressure). The associations were stronger in subjects who were older (≥60 y; P for trend = 0.004) and had higher blood pressure (≥120 [systolic blood pressure]/80 mmHg [diastolic blood pressure]; P for trend = 0.028) than those who were younger and had lower blood pressure (P for trend >0.05). HbA1c was related to high cfPWV, independent of conventional cardiovascular risk factors. Senior age and high blood pressure might amplify the adverse effects of HbA1c on cardiovascular risk.

  5. Evaluation of plasma and buffy coat ascorbic acid concentrations in dogs before and after a 24-hour fast.

    PubMed

    Lee, A H; Spano, J S; Swaim, S F; McGuire, J A; Hughes, K S

    1986-09-01

    Samples of blood were taken from 15 female and 15 male research laboratory Beagles before and after they were fasted for 24 hours. The mean buffy coat ascorbic acid concentration was significantly higher in dogs after they were fasted than that before they were fasted. In contrast, the mean plasma ascorbic acid concentration was significantly lower in dogs after they were fasted than that before they were fasted. The mean buffy coat ascorbic acid concentrations in blood samples of both fasted and nonfasted female Beagles was significantly greater than those of male Beagles, whereas the mean plasma concentrations of both fasted and nonfasted female Beagles was significantly lower than those of male Beagles. It was observed that whenever there was a decrease in plasma ascorbic acid concentration, there was an increase in buffy coat ascorbic acid concentration, regardless of fasting stress or sex difference.

  6. Effect of chromium-enriched yeast on fasting plasma glucose, glycated haemoglobin and serum lipid levels in patients with type 2 diabetes mellitus treated with insulin.

    PubMed

    Racek, Jaroslav; Sindberg, C D; Moesgaard, S; Mainz, Josef; Fabry, Jaroslav; Müller, Luděk; Rácová, Katarína

    2013-10-01

    Chromium is required for a normal insulin function, and low levels have been linked with insulin resistance. The aim of this study was to follow the effect of chromium supplementation on fasting plasma glucose (FPG), glycated haemoglobin (HbA1c) and serum lipids in patients with type 2 diabetes mellitus (DM2) on insulin therapy. Eleven randomly selected patients with DM2 on insulin therapy were supplemented with a daily dose of 100 μg chromium yeast for the first supplementation period of 2 weeks. In the second supplementation period, the chromium dose was doubled and continued for the next 6 weeks. The third phase was a 6-week washout period. After each period, the levels of FPG and HbA1c were compared with the corresponding values at the end of the previous period. Serum triglycerides, total HDL and LDL cholesterol values after supplementation were compared with the baseline values. FPG decreased significantly after the first period of chromium supplementation (p < 0.001), and a tendency to a further reduction was observed after the second supplementation period. Similarly, HbA1c decreased significantly in both periods (p < 0.02 and p < 0.002, respectively). Eight weeks after withdrawal of chromium supplementation, both FPG and HbA1c levels returned to their pre-intervention values. The serum lipid concentrations were not significantly influenced by chromium supplementation. Chromium supplementation could be beneficial in patients with DM2 treated with insulin, most likely due to lowered insulin resistance leading to improved glucose tolerance. This finding needs to be confirmed in a larger study.

  7. Integrated Kinetic Simulation of Laser-Plasma Interactions, Fast-Electron Generation and Transport in Fast Ignition

    SciTech Connect

    Kemp, A; Cohen, B; Divol, L

    2009-11-16

    We present new results on the physics of short-pulse laser-matter interaction of kilojoule-picosecond pulses at full spatial and temporal scale, using a new approach that combines a 3D collisional electromagnetic Particle-in-Cell code with an MHD-hybrid model of high-density plasma. In the latter, collisions damp out plasma waves, and an Ohm's law with electron inertia effects neglected determines the electric field. In addition to yielding orders of magnitude in speed-up while avoiding numerical instabilities, this allows us to model the whole problem in a single unified framework: the laser-plasma interaction at sub-critical densities, energy deposition at relativistic critical densities, and fast-electron transport in solid densities. Key questions such as the multi-picosecond temporal evolution of the laser energy conversion into hot electrons, the impact of return currents on the laser-plasma interaction, and the effect of self-generated electric and magnetic fields on electron transport will be addressed. We will report applications to current experiments.

  8. Integrated kinetic simulation of laser-plasma interactions, fast-electron generation, and transport in fast ignition

    SciTech Connect

    Kemp, A. J.; Cohen, B. I.; Divol, L.

    2010-05-15

    We present new results on the physics of short-pulse laser-matter interaction of kilojoule-picosecond pulses at full spatial and temporal scale using a new approach that combines a three-dimensional collisional electromagnetic particle-in-cell code with a magnetohydrodynamic-hybrid model of high-density plasma. In the latter, collisions damp out plasma waves, and an Ohm's law with electron inertia effects neglected determines the electric field. In addition to yielding orders of magnitude in speed-up while avoiding numerical instabilities, this allows us to model the whole problem in a single unified framework: the laser-plasma interaction at subcritical densities, energy deposition at relativistic critical densities, and fast- electron transport in solid densities. Key questions such as the multipicosecond temporal evolution of the laser energy conversion into hot electrons, the impact of return currents on the laser-plasma interaction, and the effect of self-generated electric and magnetic fields on electron transport will be addressed. We will report applications to current experiments.

  9. Fast tokamak plasma flux and electron density reconstruction technique

    SciTech Connect

    Chiang, K.L.; Hallock, G.A.; Wootton, A.J.; Wang, L.

    1997-01-01

    Density profiles in TEXT-U are obtained using a vertical viewing far-infrared (FIR) interferometer. To obtain the local (inverted) density, we have developed a simple analytic model of the plasma equilibrium configuration which is faster than EFIT (a flux surface reconstruction program) and can be easily computed between discharges. This analytic solution of the Grad{endash}Shafranov equation is valid as long as the pressure p is a function of poloidal flux {psi}, i.e., p=p({psi}). The procedure incorporates both magnetic and FIR density data to solve the Grad{endash}Shafranov equation, and provides a density profile which is self-consistent with the reconstructed equilibrium flux surfaces. Examples are presented. {copyright} {ital 1997 American Institute of Physics.}

  10. Diagnostic value of the rectal ammonia tolerance test, fasting plasma ammonia and fasting plasma bile acids for canine portosystemic shunting.

    PubMed

    van Straten, G; Spee, B; Rothuizen, J; van Straten, M; Favier, R P

    2015-06-01

    Portosystemic shunting (PSS) often results in hyperammonaemia and, consequently, hepatic encephalopathy. This retrospective study evaluated the sensitivity, specificity, positive and negative predictive values (PPV and NPV, respectively) and other test performance metrics for the ammonia tolerance test (ATT), serum fasting bile acids (FBA), serum fasting ammonia concentration (FA), and combinations of these tests for their association with PSS in dogs. Medical records of 271 dogs suspect for PSS (symptomatic group) and 53 dogs returning for evaluation after surgical closure of a congenital PSS (CPSS post-surgical control group) were analysed. In the symptomatic group, ATT at 40 min (T40), and the FBA had the highest sensitivity (100% and 98%, respectively) and NPV (100% and 96%, respectively) for PSS. The combination of increased FBA and FA had the highest specificity (97%), with a PPV of 97%, and a positive likelihood ratio of 29. In the CPSS post-surgical control group, the specificity and PPV of FA and the combination of increased FBA/FA were both 100%. In purebred populations, the NPV of all tests was 100%. Consequently, PSS would be ruled out in a symptomatic dog with normal FBA or ATT (T40) and would be highly probable when both FBA and FA are increased. Increased FA was conclusive for PSS in dogs evaluated for post-surgical closure of a CPSS. FBA was the most suitable test for screening purposes. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. The role of curvature and stretching on the existence of fast dynamo plasma in Riemannian space

    SciTech Connect

    Garcia de Andrade, L. C.

    2008-12-15

    Vishik's anti-dynamo theorem is applied to a nonstretched twisted magnetic flux tube in Riemannian space. Marginal or slow dynamos along curved (folded), torsioned (twisted), and nonstretching flux tubes plasma flows are obtained. Riemannian curvature of the twisted magnetic flux tube is computed in terms of the Frenet curvature in the thin tube limit. It is shown that, for nonstretched filaments, fast dynamo action in the diffusive case cannot be obtained, in agreement with Vishik's argument that fast dynamos cannot be obtained in nonstretched flows. Instead of a fast dynamo, a nonuniform stretching slow dynamo is obtained. An example is given, which generalizes plasma dynamo laminar flows, recently presented by Wang et al. [Phys Plasmas 9, 1491 (2002)], in the case of low magnetic Reynolds number Re{sub m}{>=}210. Curved and twisting Riemannian heliotrons, where nondynamo modes are found even when stretching is present, shows that the simple presence of stretching is not enough for the existence of dynamo action. In this paper, folding plays the role of Riemannian curvature and can be used to cancel magnetic fields, not enhancing the dynamo action. Nondynamo modes are found for certain values of torsion, or Frenet curvature (folding) in the spirit of the anti-dynamo theorem. It is also shown that curvature and stretching are fundamental for the existence of fast dynamos in plasmas.

  12. Fast-acting calorimeter measures heat output of plasma gun accelerator

    NASA Technical Reports Server (NTRS)

    Dethlefson, R.; Larson, A. V.; Liebing, L.

    1967-01-01

    Calorimeter measures the exhaust energy from a shot of a pulsed plasma gun accelerator. It has a fast response time and requires only one measurement to determine the total energy. It uses a long ribbon of copper foil wound around a glass frame to form a reentrant cavity.

  13. Newly developed double neural network concept for reliable fast plasma position control

    NASA Astrophysics Data System (ADS)

    Jeon, Young-Mu; Na, Yong-Su; Kim, Myung-Rak; Hwang, Y. S.

    2001-01-01

    Neural network is considered as a parameter estimation tool in plasma controls for next generation tokamak such as ITER. The neural network has been reported to be so accurate and fast for plasma equilibrium identification that it may be applied to the control of complex tokamak plasmas. For this application, the reliability of the conventional neural network needs to be improved. In this study, a new idea of double neural network is developed to achieve this. The new idea has been applied to simple plasma position identification of KSTAR tokamak for feasibility test. Characteristics of the concept show higher reliability and fault tolerance even in severe faulty conditions, which may make neural network applicable to plasma control reliably and widely in future tokamaks.

  14. Intensive lifestyle intervention including high-intensity interval training program improves insulin resistance and fasting plasma glucose in obese patients.

    PubMed

    Marquis-Gravel, Guillaume; Hayami, Douglas; Juneau, Martin; Nigam, Anil; Guilbeault, Valérie; Latour, Élise; Gayda, Mathieu

    2015-01-01

    To analyze the effects of a long-term intensive lifestyle intervention including high-intensity interval training (HIIT) and Mediterranean diet (MedD) counseling on glycemic control parameters, insulin resistance and β-cell function in obese subjects. The glycemic control parameters (fasting plasma glucose, glycated hemoglobin), insulin resistance, and β-cell function of 72 obese subjects (54 women; mean age = 53 ± 9 years) were assessed at baseline and upon completion of a 9-month intensive lifestyle intervention program conducted at the cardiovascular prevention and rehabilitation center of the Montreal Heart Institute, from 2009 to 2012. The program included 2-3 weekly supervised exercise training sessions (HIIT and resistance exercise), combined to MedD counseling. Fasting plasma glucose (FPG) (mmol/L) (before: 5.5 ± 0.9; after: 5.2 ± 0.6; P < 0.0001), fasting insulin (pmol/L) (before: 98 ± 57; after: 82 ± 43; P = 0.003), and insulin resistance, as assessed by the HOMA-IR score (before: 3.6 ± 2.5; after: 2.8 ± 1.6; P = 0.0008) significantly improved, but not HbA1c (%) (before: 5.72 ± 0.55; after: 5.69 ± 0.39; P = 0.448), nor β-cell function (HOMA-β, %) (before: 149 ± 78; after: 144 ± 75; P = 0.58). Following a 9-month intensive lifestyle intervention combining HIIT and MedD counseling, obese subjects experienced significant improvements of FPG and insulin resistance. This is the first study to expose the effects of a long-term program combining HIIT and MedD on glycemic control parameters among obese subjects.

  15. Intensive lifestyle intervention including high-intensity interval training program improves insulin resistance and fasting plasma glucose in obese patients☆

    PubMed Central

    Marquis-Gravel, Guillaume; Hayami, Douglas; Juneau, Martin; Nigam, Anil; Guilbeault, Valérie; Latour, Élise; Gayda, Mathieu

    2015-01-01

    Objectives To analyze the effects of a long-term intensive lifestyle intervention including high-intensity interval training (HIIT) and Mediterranean diet (MedD) counseling on glycemic control parameters, insulin resistance and β-cell function in obese subjects. Methods The glycemic control parameters (fasting plasma glucose, glycated hemoglobin), insulin resistance, and β-cell function of 72 obese subjects (54 women; mean age = 53 ± 9 years) were assessed at baseline and upon completion of a 9-month intensive lifestyle intervention program conducted at the cardiovascular prevention and rehabilitation center of the Montreal Heart Institute, from 2009 to 2012. The program included 2–3 weekly supervised exercise training sessions (HIIT and resistance exercise), combined to MedD counseling. Results Fasting plasma glucose (FPG) (mmol/L) (before: 5.5 ± 0.9; after: 5.2 ± 0.6; P < 0.0001), fasting insulin (pmol/L) (before: 98 ± 57; after: 82 ± 43; P = 0.003), and insulin resistance, as assessed by the HOMA-IR score (before: 3.6 ± 2.5; after: 2.8 ± 1.6; P = 0.0008) significantly improved, but not HbA1c (%) (before: 5.72 ± 0.55; after: 5.69 ± 0.39; P = 0.448), nor β-cell function (HOMA-β, %) (before: 149 ± 78; after: 144 ± 75; P = 0.58). Conclusion Following a 9-month intensive lifestyle intervention combining HIIT and MedD counseling, obese subjects experienced significant improvements of FPG and insulin resistance. This is the first study to expose the effects of a long-term program combining HIIT and MedD on glycemic control parameters among obese subjects. PMID:26844086

  16. Ultra-Fast Pump-Probe Detection Using Plasmas

    SciTech Connect

    Tatchyn, R.; /SLAC

    2006-02-17

    The temporal resolution of pump-flash interactions in the femtosecond-attosecond (fs-as) regime is limited by the characteristic time constants of the excited states in the detector material. If the relaxation time constant is appreciably longer that the time interval between the pump and probe signals the response of the detector material to the probe represents a temporal convolution with the pump and probe responses, setting a lower limit on the resolution to which the interval between the two pulses can be measured. In most of the solid state ultrafast detection schemes that are being considered for the ultrashort pulse x-ray sources under current development at SLAC and elsewhere the characteristic time constants are related to the bound states of the atoms comprising the material or to the relaxation times of phase transitions or charge carrier populations of the lattice, setting a probable lower limit on the attainable resolution on the order of {approx}0.1 ps. In this paper we consider a novel detection principle based on the excitation of specially prepared unbound states in an ionized plasma with high pump and probe fields, and estimate its potential for extending the lower limit of resolution into the attosecond (as) regime.

  17. Fast wave current drive in neutral beam heated plasmas on DIII-D

    SciTech Connect

    Petty, C.C.; Forest, C.B.; Pinsker, R.I.

    1997-04-01

    The physics of non-inductive current drive and current profile control using the fast magnetosonic wave has been demonstrated on the DIII-D tokamak. In non-sawtoothing discharges formed by neutral beam injection (NBI), the radial profile of the fast wave current drive (FWCD) was determined by the response of the loop voltage profile to co, counter, and symmetric antenna phasings, and was found to be in good agreement with theoretical models. The application of counter FWCD increased the magnetic shear reversal of the plasma and delayed the onset of sawteeth, compared to co FWCD. The partial absorption of fast waves by energetic beam ions at high harmonics of the ion cyclotron frequency was also evident from a build up of fast particle pressure near the magnetic axis and a correlated increase in the neutron rate. The anomalous fast particle pressure and neutron rate increased with increasing NBI power and peaked when a harmonic of the deuterium cyclotron frequency passed through the center of the plasma. The experimental FWCD efficiency was highest at 2 T where the interaction between the fast waves and the beam ions was weakest; as the magnetic field strength was lowered, the FWCD efficiency decreased to approximately half of the maximum theoretical value.

  18. Heating efficiency evaluation with mimicking plasma conditions of integrated fast-ignition experiment.

    PubMed

    Fujioka, Shinsuke; Johzaki, Tomoyuki; Arikawa, Yasunobu; Zhang, Zhe; Morace, Alessio; Ikenouchi, Takahito; Ozaki, Tetsuo; Nagai, Takahiro; Abe, Yuki; Kojima, Sadaoki; Sakata, Shohei; Inoue, Hiroaki; Utsugi, Masaru; Hattori, Shoji; Hosoda, Tatsuya; Lee, Seung Ho; Shigemori, Keisuke; Hironaka, Youichiro; Sunahara, Atsushi; Sakagami, Hitoshi; Mima, Kunioki; Fujimoto, Yasushi; Yamanoi, Kohei; Norimatsu, Takayoshi; Tokita, Shigeki; Nakata, Yoshiki; Kawanaka, Junji; Jitsuno, Takahisa; Miyanaga, Noriaki; Nakai, Mitsuo; Nishimura, Hiroaki; Shiraga, Hiroyuki; Nagatomo, Hideo; Azechi, Hiroshi

    2015-06-01

    A series of experiments were carried out to evaluate the energy-coupling efficiency from heating laser to a fuel core in the fast-ignition scheme of laser-driven inertial confinement fusion. Although the efficiency is determined by a wide variety of complex physics, from intense laser plasma interactions to the properties of high-energy density plasmas and the transport of relativistic electron beams (REB), here we simplify the physics by breaking down the efficiency into three measurable parameters: (i) energy conversion ratio from laser to REB, (ii) probability of collision between the REB and the fusion fuel core, and (iii) fraction of energy deposited in the fuel core from the REB. These three parameters were measured with the newly developed experimental platform designed for mimicking the plasma conditions of a realistic integrated fast-ignition experiment. The experimental results indicate that the high-energy tail of REB must be suppressed to heat the fuel core efficiently.

  19. A new equation in two dimensional fast magnetoacoustic shock waves in electron-positron-ion plasmas

    SciTech Connect

    Masood, W.; Jehan, Nusrat; Mirza, Arshad M.

    2010-03-15

    Nonlinear properties of the two dimensional fast magnetoacoustic waves are studied in a three-component plasma comprising of electrons, positrons, and ions. In this regard, Kadomtsev-Petviashvili-Burger (KPB) equation is derived using the small amplitude perturbation expansion method. Under the condition that the electron and positron inertia are ignored, Burger-Kadomtsev-Petviashvili (Burger-KP) for a fast magnetoacoustic wave is derived for the first time, to the best of author's knowledge. The solutions of both KPB and Burger-KP equations are obtained using the tangent hyperbolic method. The effects of positron concentration, kinematic viscosity, and plasma beta are explored both for the KPB and the Burger-KP shock waves and the differences between the two are highlighted. The present investigation may have relevance in the study of nonlinear electromagnetic shock waves both in laboratory and astrophysical plasmas.

  20. Significance of HbA1c Test in Diagnosis and Prognosis of Diabetic Patients

    PubMed Central

    Sherwani, Shariq I.; Khan, Haseeb A.; Ekhzaimy, Aishah; Masood, Afshan; Sakharkar, Meena K.

    2016-01-01

    Diabetes is a global endemic with rapidly increasing prevalence in both developing and developed countries. The American Diabetes Association has recommended glycated hemoglobin (HbA1c) as a possible substitute to fasting blood glucose for diagnosis of diabetes. HbA1c is an important indicator of long-term glycemic control with the ability to reflect the cumulative glycemic history of the preceding two to three months. HbA1c not only provides a reliable measure of chronic hyperglycemia but also correlates well with the risk of long-term diabetes complications. Elevated HbA1c has also been regarded as an independent risk factor for coronary heart disease and stroke in subjects with or without diabetes. The valuable information provided by a single HbA1c test has rendered it as a reliable biomarker for the diagnosis and prognosis of diabetes. This review highlights the role of HbA1c in diagnosis and prognosis of diabetes patients. PMID:27398023

  1. A Comparison of hs-CRP Levels in New Diabetes Groups Diagnosed Based on FPG, 2-hPG, or HbA1c Criteria.

    PubMed

    Tutuncu, Yildiz; Satman, Ilhan; Celik, Selda; Dinccag, Nevin; Karsidag, Kubilay; Telci, Aysegul; Genc, Sema; Issever, Halim; Tuomilehto, Jaakko; Omer, Beyhan

    2016-01-01

    Fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) have been used to diagnose new-onset diabetes mellitus (DM) in order to simplify the diagnostic tests compared with the 2-hour oral glucose tolerance test (OGTT; 2-hPG). We aimed to identify optimal cut-off points of high sensitive C-reactive protein (hs-CRP) in new-onset DM people based on FPG, 2-hPG, or HbA1c methods. Data derived from recent population-based survey in Turkey (TURDEP-II). The study included 26,499 adult people (63% women, response rate 85%). The mean serum concentration of hs-CRP in women was higher than in men (p < 0.001). The people with new-onset DM based on HbA1c had higher mean hs-CRP level than FPG based and 2-hPG based DM cases. In HbA1c, 2-hPG, and FPG based new-onset DM people, cut-off levels of hs-CRP in women were 2.9, 2.1, and 2.5 mg/L [27.5, 19.7, and 23.5 nmol/L] and corresponding values in men were 2.0, 1.8, and 1.8 mg/L (19.0, 16.9, and 16.9 nmol/L), respectively (sensitivity 60-65% and specificity 54-64%). Our results revealed that hs-CRP may not further strengthen the diagnosis of new-onset DM. Nevertheless, the highest hs-CRP level observed in new-onset DM people diagnosed with HbA1c criterion supports the general assumption that this method might recognize people in more advanced diabetic stage compared with other diagnostic methods.

  2. Study of dynamical behaviour of the plasma in a dc non-transferred plasma torch using fast imaging

    NASA Astrophysics Data System (ADS)

    Goyal, Vidhi; Ravi, G.; Bandyopadhyay, P.; Banerjee, S.; Yugesh, V.; Mukherjee, S.

    2017-03-01

    The dynamical behaviour of the plasma in a dc non-transferred plasma torch is the result of complex interactions between various forces acting on the plasma column. We have studied this behaviour in a novel experiment comprising a low power (˜25 kW) torch and fast imaging diagnostics. The nitrogen gas plasma torch was operated at atmospheric pressure for a wide range of gas flow rates (20-60 lpm) and currents (70-120 A). A strong axial external magnetic field (100-500 G) was introduced and end-on images of the plasma column were captured using a high speed camera of frame rate ˜117 000 fps. The studies have yielded dominant role of external magnetic on the arc root dynamics. The column is clearly distinguishable in three main parts: central plasma, cathode-anode junction, and radial component of column that attaches to the anode. The dynamics of the column, especially the angular rotational speed of the radial part of the column, is analyzed in detail in terms of the forces that act upon it. The nature of the arc root attachment is observed to vary with variation in main experimental parameters, such as current, magnetic field, and flow. Arguments are invoked to explain the observed phenomena and a model of the physical processes is presented to explain the phenomena.

  3. Plasma obestatin is lower at fasting and not suppressed by insulin in insulin-resistant humans.

    PubMed

    Anderwald-Stadler, Marietta; Krebs, Michael; Promintzer, Miriam; Mandl, Martina; Bischof, Martin G; Nowotny, Peter; Kästenbauer, Thomas; Luger, Anton; Prager, Rudolf; Anderwald, Christian

    2007-11-01

    Obestatin, a recently discovered 23-amino acid peptide, is involved in the regulation of appetite and body weight in antagonistic fashion to ghrelin, both deriving from a common precursor peptide. Ghrelin was shown to be associated with insulin resistance, which may also affect obestatin. We investigated the association between insulin resistance and plasma concentrations of obestatin and ghrelin in nondiabetic individuals with high (IS; n = 18, 13 females and 5 males, age 47 +/- 2 yr, BMI = 25.5 +/- 0.9 kg/m(2)) and low (IR; n = 18, 12 females and 6 males, age 45 +/- 2 yr, P = 0.49, BMI = 27.5 +/- 1.1 kg/m(2), P = 0.17) insulin-stimulated glucose disposal (M), measured by 2-h hyperinsulinemic (40 mU.min(-1).m(-2)) isoglycemic clamp tests. M(100-120 min) was higher in IS (10.7 +/- 0.7) than in IR (4.4 +/- 0.2 mg.min(-1).kg(-1), P < 10(-9)), whereas insulin-dependent suppression of free fatty acids (FFA) in plasma was reduced in IR (71 +/- 6% vs. IS: 82 +/- 5%, P < 0.02). In both groups, plasma ghrelin concentrations were comparable at fasting and similarly reduced by 24-28% during insulin infusion. IR had lower fasting plasma obestatin levels (383 +/- 26 pg/ml vs. IS: 469 +/- 23 pg/ml, P < 0.02). Clamp insulin infusion reduced plasma obestatin to approximately 81% of basal values in IS (P < 0.00002), but not in IR. Fasting plasma obestatin was correlated positively with M (r = 0.34, P = 0.04), HDL cholesterol (r = 0.45, P = 0.01), and plasma ghrelin concentrations (r = 0.80, P < 0.000001) and negatively with measures of adiposity, plasma FFA during clamp (r = -0.42, P < 0.01), and systolic blood pressure (r = -0.33, P < 0.05). In conclusion, fasting plasma concentrations of obestatin, but not of ghrelin, are reduced in insulin resistance and are positively associated with whole body insulin sensitivity in nondiabetic humans. Furthermore, plasma obestatin is reduced by insulin in insulin-sensitive but not in insulin-resistant persons.

  4. Role of Combined NNBI and ICRH Heating in FAST H-mode plasmas

    NASA Astrophysics Data System (ADS)

    Cardinali, A.; Calabrò, G.; Di Troia, C.; Marinucci, M.; Baiocchi, B.; Bilato, R.; Brambilla, M.; Briguglio, S.; Fogaccia, G.; Mantica, P.; Vlad, G.; Zonca, F.

    2011-12-01

    The combination of ICRH+NNBI in FAST allows the generation of fast ion populations with different velocity space anisotropy and radial profiles. These energetic ion populations can excite meso-scale fluctuations with the same characteristics of those expected in reactor conditions and, for this reason, FAST can address a number of important burning plasma physics issues. Numerical simulation and modeling of energetic particle physics are based on the use of transport codes that are iteratively coupled with a bi-dimensional full wave-quasi-linear solver for ICRH, in order to determinate the normalized supra-thermal population pressure ßhot. The value of ßhot. as well the energetic particle distribution functions can be used as initial condition for numerical simulation studies, investigating the destabilization and saturation of fast ion driven Alfvénic modes.

  5. Fast and Slow Mode Solitary Waves in a Five Component Plasma

    NASA Astrophysics Data System (ADS)

    Sebastian, Sijo; Michael, Manesh; Varghese, Anu; Sreekala, G.; Venugopal, Chandu

    2016-07-01

    We have investigated fast and slow mode solitary profiles in a five component plasma consisting of positively and negatively charged pair ions, hydrogen ions and hotter and colder electrons. Of these, the heavier ions and colder photo-electrons are of cometary origin while the other components are of solar origin; the electrons being described by kappa distributions. The Zakharov-Kuznetzov (ZK) equation is derived and solutions for fast and slow mode solitary structures are plotted for parameters relevant to that of comet Halley. From the figures, it is seen that the presence of hydrogen ion determines the polarity of fast and slow mode solitary structures. Also different pair ions like He, C and O have significant effect on the width of the fast and slow mode solitary structures.

  6. Charge exchange fast neutral measurement with natural diamond detectors in neon plasma on LHD

    NASA Astrophysics Data System (ADS)

    Saida, T.; Sasao, M.; Isobe, M.; Krasilnikov, A. V.

    2003-03-01

    Charge exchange (CX) fast neutral spectra produced by ion cyclotron resonance frequency hydrogen minority heating in neon and helium majority plasmas sustained by neutral beam injection were measured with perpendicular Natural Diamond Detectors during the fifth campaign in 2002 on large helical devices (LHDs). It was observed that there were differences between fast neutral spectra shapes in neon plasma and those in helium of the same discharge condition with similar plasma parameters. Dominant CX processes in neon and helium plasmas were studied for ionization components from outside of the last closed flux surface. High-energy proton spectra were obtained by taking account of each charge state distribution and responsible charge exchange cross sections. The high-energy proton tail formations in both plasmas were similar for the same heating regime. The relaxation time tendencies of the effective temperatures of a high-energy proton have also shown no differences, indicating that the acceleration and confinement of energetic ions in LHDs are similar in neon and helium plasmas.

  7. Performance of a space-based wavelet compressor for plasma count data on the MMS Fast Plasma Investigation

    NASA Astrophysics Data System (ADS)

    Barrie, A. C.; Smith, S. E.; Dorelli, J. C.; Gershman, D. J.; Yeh, P.; Schiff, C.; Avanov, L. A.

    2017-01-01

    Data compression has been a staple of imaging instruments for years. Recently, plasma measurements have utilized compression with relatively low compression ratios. The Fast Plasma Investigation (FPI) on board the Magnetospheric Multiscale (MMS) mission generates data roughly 100 times faster than previous plasma instruments, requiring a higher compression ratio to fit within the telemetry allocation. This study investigates the performance of a space-based compression standard employing a Discrete Wavelet Transform and a Bit Plane Encoder (DWT/BPE) in compressing FPI plasma count data. Data from the first 6 months of FPI operation are analyzed to explore the error modes evident in the data and how to adapt to them. While approximately half of the Dual Electron Spectrometer (DES) maps had some level of loss, it was found that there is little effect on the plasma moments and that errors present in individual sky maps are typically minor. The majority of Dual Ion Spectrometer burst sky maps compressed in a lossless fashion, with no error introduced during compression. Because of induced compression error, the size limit for DES burst images has been increased for Phase 1B. Additionally, it was found that the floating point compression mode yielded better results when images have significant compression error, leading to floating point mode being used for the fast survey mode of operation for Phase 1B. Despite the suggested tweaks, it was found that wavelet-based compression, and a DWT/BPE algorithm in particular, is highly suitable to data compression for plasma measurement instruments and can be recommended for future missions.

  8. Temporal trends of hemoglobin A1c testing.

    PubMed

    Pivovarov, Rimma; Albers, David J; Hripcsak, George; Sepulveda, Jorge L; Elhadad, Noémie

    2014-01-01

    The study of utilization patterns can quantify potential overuse of laboratory tests and find new ways to reduce healthcare costs. We demonstrate the use of distributional analytics for comparing electronic health record (EHR) laboratory test orders across time to diagnose and quantify overutilization. We looked at hemoglobin A1c (HbA1c) testing across 119,000 patients and 15 years of hospital records. We examined the patterns of HbA1c ordering before and after the publication of the 2002 American Diabetes Association guidelines for HbA1c testing. We conducted analyses to answer three questions. What are the patterns of HbA1c ordering? Do HbA1c orders follow the guidelines with respect to frequency of measurement? If not, how and why do they depart from the guidelines? The raw number of HbA1c orderings has steadily increased over time, with a specific increase in low-measurement orderings (<6.5%). There is a change in ordering pattern following the 2002 guideline (p<0.001). However, by comparing ordering distributions, we found that the changes do not reflect the guidelines and rather exhibit a new practice of rapid-repeat testing. The rapid-retesting phenomenon does not follow the 2009 guidelines for diabetes diagnosis either, illustrated by a stratified HbA1c value analysis. Results suggest HbA1c test overutilization, and contributing factors include lack of care coordination, unexpected values prompting retesting, and point-of-care tests followed by confirmatory laboratory tests. We present a method of comparing ordering distributions in an EHR across time as a useful diagnostic approach for identifying and assessing the trend of inappropriate use over time. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  9. Ranolazine and Its Effects on Hemoglobin A1C.

    PubMed

    Greiner, Lindsey; Hurren, Kathryn; Brenner, Michael

    2016-05-01

    To review the antihyperglycemic effect of ranolazine in type 2 diabetes mellitus (T2DM). An EMBASE search was conducted between January 1966 through December 2015 using the search termsranolazine, diabetes, andhemoglobin A1C(A1C). Additional references were identified from a review of literature citations. A search of clinicaltrials.gov was conducted to identify unpublished studies assessing ranolazine in diabetes. All English-language observational and randomized controlled trials assessing the effects of ranolazine on A1C were evaluated. Four published and 3 unpublished trials were identified. In all except 1 study, ranolazine 750 to 1000 mg twice daily was associated with a statistically significant decrease in A1C compared with placebo (placebo-corrected change in A1C: -0.28 to -0.7). In the trial in which a significant difference was not observed, patients assigned to ranolazine received a lower maintenance metformin dose compared with patients not assigned to ranolazine. A greater percentage of patients randomized to ranolazine achieved an A1C<7% compared with the placebo group (41.2%-59% vs 25.7%-49%). Ranolazine was not associated with an increase in the incidence of hypoglycemia and was well tolerated overall. The mechanism for lowering of A1C has not been determined. Ranolazine therapy may decrease A1C among patients with T2DM without an increase in hypoglycemia. For patients with T2DM and chronic stable angina, ranolazine may be of use given its utility in cardiovascular disease and benefit in A1C lowering. © The Author(s) 2016.

  10. Fasting plasma glucose test at the first prenatal visit as a screen for gestational diabetes.

    PubMed

    Sacks, David A; Chen, Wansu; Wolde-Tsadik, Girma; Buchanan, Thomas A

    2003-06-01

    To determine whether the fasting plasma glucose test administered at the first prenatal visit could serve as an efficient screen for gestational diabetes. A total of 5557 women not known to have diabetes were offered a fasting plasma glucose test at their first prenatal visit. Results less than 100 mg/dL were blinded. A glucose tolerance test was requested immediately of those whose screening test result was 100-125 mg/dL and of all women not identified as having diabetes by their 23rd gestational week. A total of 4507 women (81%) complied with the protocol. Of the 302 women found to have gestational diabetes, 46 (15%) were detected before 24 weeks. A false-positive rate of 57% was found at a threshold fasting glucose concentration giving a sensitivity of 80% for the detection of gestational diabetes. The fasting plasma glucose screening test at the first prenatal visit has good patient compliance. However, its poor specificity (high false-positive rate) makes it an inefficient screening test for gestational diabetes.

  11. Fast camera studies at an electron cyclotron resonance table plasma generator

    SciTech Connect

    Rácz, R.; Biri, S.

    2014-02-15

    A simple table-size ECR plasma generator operates in the ATOMKI without axial magnetic trap and without any particle extraction tool. Radial plasma confinement is ensured by a NdFeB hexapole. The table-top ECR is a simplified version of the 14 GHz ATOMKI-ECRIS. Plasma diagnostics experiments are planned to be performed at this device before installing the measurement setting at the “big” ECRIS. Recently, the plasma generator has been operated in pulsed RF mode in order to investigate the time evolution of the ECR plasma in two different ways. (1) The visible light radiation emitted by the plasma was investigated by the frames of a fast camera images with 1 ms temporal resolution. Since the visible light photographs are in strong correlation with the two-dimensional spatial distribution of the cold electron components of the plasma it can be important to understand better the transient processes just after the breakdown and just after the glow. (2) The time-resolved ion current on a specially shaped electrode was measured simultaneously in order to compare it with the visible light photographs. The response of the plasma was detected by changing some external setting parameters (gas pressure and microwave power) and was described in this paper.

  12. Development and Benchmarking of a Hybrid PIC Code For Dense Plasmas and Fast Ignition

    SciTech Connect

    Witherspoon, F. Douglas; Welch, Dale R.; Thompson, John R.; MacFarlane, Joeseph J.; Phillips, Michael W.; Bruner, Nicki; Mostrom, Chris; Thoma, Carsten; Clark, R. E.; Bogatu, Nick; Kim, Jin-Soo; Galkin, Sergei; Golovkin, Igor E.; Woodruff, P. R.; Wu, Linchun; Messer, Sarah J.

    2014-05-20

    Radiation processes play an important role in the study of both fast ignition and other inertial confinement schemes, such as plasma jet driven magneto-inertial fusion, both in their effect on energy balance, and in generating diagnostic signals. In the latter case, warm and hot dense matter may be produced by the convergence of a plasma shell formed by the merging of an assembly of high Mach number plasma jets. This innovative approach has the potential advantage of creating matter of high energy densities in voluminous amount compared with high power lasers or particle beams. An important application of this technology is as a plasma liner for the flux compression of magnetized plasma to create ultra-high magnetic fields and burning plasmas. HyperV Technologies Corp. has been developing plasma jet accelerator technology in both coaxial and linear railgun geometries to produce plasma jets of sufficient mass, density, and velocity to create such imploding plasma liners. An enabling tool for the development of this technology is the ability to model the plasma dynamics, not only in the accelerators themselves, but also in the resulting magnetized target plasma and within the merging/interacting plasma jets during transport to the target. Welch pioneered numerical modeling of such plasmas (including for fast ignition) using the LSP simulation code. Lsp is an electromagnetic, parallelized, plasma simulation code under development since 1995. It has a number of innovative features making it uniquely suitable for modeling high energy density plasmas including a hybrid fluid model for electrons that allows electrons in dense plasmas to be modeled with a kinetic or fluid treatment as appropriate. In addition to in-house use at Voss Scientific, several groups carrying out research in Fast Ignition (LLNL, SNL, UCSD, AWE (UK), and Imperial College (UK)) also use LSP. A collaborative team consisting of HyperV Technologies Corp., Voss Scientific LLC, FAR-TECH, Inc., Prism

  13. Comparative interactions between fast-flowing magnetized plasmas and comets, Mars, Venus and Titan

    NASA Astrophysics Data System (ADS)

    Mazelle, C.

    This review will summarize recent progress in the space plasma physics of solar system bodies (planets, planetary satellites and comets) interacting with a collisionless plasma wind such as the solar wind. One well-known class of objects are those possessing an intrinsic dynamo field such as the Earth, Mercury or giant planets. Their atmosphere is protected from the incident flow by the external boundary of their magnetosphere where the incident pressure is balanced by the intrinsic magnetic pressure allowing only impulsive penetration of solar wind plasma. For the second class of objects without measurable large scale magnetic field, the electrodynamical coupling occurs directly with the atmosphere and its upper part, the exosphere. This the case of Mars, and Venus and this makes these planets to also share common physical processes with comets. The interaction of Titan with the fast co-rotating plasma inside the magnetosphere of Saturn is another example of such interaction. Their plasma environment consists of characteristic boundaries separating regions with very different plasma conditions and dynamics (collisionless shock, magnetosheath, "induced" magnetosphere, ionosphere,...). Numerous open issues include atmospheric and ionospheric escapes, plasma boundaries and their dynamics, pickup ions, upstream waves, etc. Numerous open issues include atmospheric and ionospheric escapes, plasma boundaries and their dynamics, pickup ions, upstream waves, etc. Recent results in data analysis, e.g., from Mars Global Surveyor and Mars Express at Mars, from Cassini at Saturn and Titan or from Venus Express will be reported and compared with theoretical results, including numerical simulations.

  14. Beams of fast neutral atoms and molecules in low-pressure gas-discharge plasma

    SciTech Connect

    Metel, A. S.

    2012-03-15

    Fast neutral atom and molecule beams have been studied, the beams being produced in a vacuum chamber at nitrogen, argon, or helium pressure of 0.1-10 Pa due to charge-exchange collisions of ions accelerated in the sheath between the glow discharge plasma and a negative grid immersed therein. From a flat grid, two broad beams of molecules with continuous distribution of their energy from zero up to e(U + U{sub c}) (where U is voltage between the grid and the vacuum chamber and U{sub c} is cathode fall of the discharge) are propagating in opposite directions. The beam propagating from the concave surface of a 0.2-m-diameter grid is focused within a 10-mm-diameter spot on the target surface. When a 0.2-m-diameter 0.2-m-high cylindrical grid covered by end disks and composed of parallel 1.5-mm-diameter knitting needles spaced by 4.5 mm is immersed in the plasma, the accelerated ions pass through the gaps between the needles, turn inside the grid into fast atoms or molecules, and escape from the grid through the gaps on its opposite side. The Doppler shift of spectral lines allows for measuring the fast atom energy, which corresponds to the potential difference between the plasma inside the chamber and the plasma produced as a result of charge-exchange collisions inside the cylindrical grid.

  15. FAST TRACK COMMUNICATION: Plasma agents in bio-decontamination by dc discharges in atmospheric air

    NASA Astrophysics Data System (ADS)

    Machala, Zdenko; Chládeková, Lenka; Pelach, Michal

    2010-06-01

    Bio-decontamination of water and surfaces contaminated by bacteria (Salmonella typhimurium) was investigated in two types of positive dc discharges in atmospheric pressure air, in needle-to-plane geometry: the streamer corona and its transition to a novel regime called transient spark with short high current pulses of limited energy. Both generate a cold non-equilibrium plasma. Electro-spraying of treated water through a needle electrode was applied for the first time and resulted in fast bio-decontamination. Experiments providing separation of various biocidal plasma agents, along with the emission spectra and coupled with oxidation stress measurements in the cell membranes helped to better understand the mechanisms of microbial inactivation. The indirect exposure of contaminated surfaces to neutral active species was almost as efficient as the direct exposure to the plasma, whereas applying only UV radiation from the plasma had no biocidal effects. Radicals and reactive oxygen species were identified as dominant biocidal agents.

  16. Advances in High Harmonic Fast Wave Heating of NSTX H-mode Plasmas

    SciTech Connect

    Ryan, Philip Michael; Ahn, Joonwook; Bell, R. E.; Bonoli, P.; Chen, Guangye; Green, David L; Harvey, R. W.; Hosea, J.; Jaeger, Erwin Frederick; Kaye, S.; LeBlanc, B; Maingi, Rajesh; Phillips, Cynthia; Podesta, M.; Taylor, G.; Wilgen, John B; Wilson, J. R.

    2010-01-01

    High-harmonic fast wave (HHFW) heating and current drive is being developed in NSTX to provide bulk electron heating and q(0) control during non-inductively sustained Hmode plasmas fuelled by deuterium neutral-beam injection (NBI). In addition, it is used to assist the plasma current ramp-up. A major modification to increase the RF power limit was made in 2009; the original end-grounded, single end-powered current straps of the 12- element array were replaced with center-grounded, double end-powered straps. Greater than 3 MW have been coupled into NBI-driven, ELMy H-mode plasmas with this upgraded antenna. Improved core HHFW heating, particularly at longer wavelengths and during low-density start-up and plasma current ramp-up, has been obtained by lowering the edge density with lithium wall conditioning, thereby moving the critical density for fast-wave propagation away from the vessel wall [1]. Significant core electron heating of NBI-fuelled H-modes has been observed for the first time over a range of launched wavelengths and H-modes can be accessed by HHFW alone. Visible and IR camera images of the antenna and divertor indicate that fast wave interactions can deposit considerable RF energy on the outboard divertor plate, especially at longer wavelengths that begin to propagate closer to the vessel walls. Edge power loss can also arise from HHFWgenerated parametric decay instabilities; edge ion heating is observed that is wavelength dependent. During plasmas where HHFW is combined with NBI, there is a significant enhancement in neutron rate, and fast-ion D-alpha (FIDA) emission measurements clearly show broadening of the fast-ion profile in the plasma core. Large edge localized modes (ELMs) have been observed immediately following the termination of RF power, whether the power turn off is programmed or due to antenna arcing. Causality has not been established but new experiments are planned and will be reported. Fast digitization of the reflected power signal

  17. Leptin concentrations in plasma and follicular fluid from prepubertal gilts as influenced by fasting, refeeding and insulin.

    PubMed

    Govoni, N; Galeati, G; Castellani, G; Tamanini, C

    2005-03-01

    This study's aim was to examine whether fasting and refeeding would influence leptin levels in both plasma and follicular fluid from prepubertal gilts, and whether insulin affects leptin levels in fasting gilts. In experiment 1, four gilts were fasted for 72 h and then refed. Blood samples were withdrawn during normoalimentation, at the end of fasting, and for 4 h after refeeding. All samples were assayed for leptin; alternate samples were assayed for insulin, glucose and non-esterified fatty acids (NEFA). Fasting caused a decrease in leptin, glucose and insulin levels in plasma, while NEFA concentrations increased. In experiment 2, four gilts were given insulin as a bolus (0.2 IU/kg body weight) after 68 h of fasting. Blood samples were collected every 15 min around insulin administration and were assayed for leptin, insulin and glucose. This experiment shows that insulin administration increases leptin levels during fasting. In experiment 3, gilts were ovariectomized during normal alimentation (n=4), after 48 h of fasting (n=4), and after 48 h of realimentation following 48 h of fasting (n=4). Leptin levels in both plasma and follicular fluid collected after 48 h of fasting were significantly lower than those observed during normoalimentation or refeeding. In conclusion, a transient increase in insulin during fasting is effective in restoring leptin concentrations; in addition, leptin levels in follicular fluid parallel those in plasma.

  18. Prevalence of normoglycemic, prediabetic and diabetic A1c levels

    PubMed Central

    Aponte, Judith

    2013-01-01

    AIM: To investigate normoglycemic, prediabetic and diabetic A1c levels in those with prediabetes; and prediabetic and diabetic A1c levels in those with non-prediabetes. METHODS: The National Health and Nutritional Examination Survey (NHANES) 2007-2008 and NHANES 2009-2010 were utilized to examine and compare trends and differences among five different ethnic groups (Mexican Americans, Other Hispanics, Non-Hispanic Whites, Non-Hispanic Blacks, Other/Multi-racials) with normoglycemic, prediabetic and diabetic A1c levels with self-reported prediabetes and prediabetic and diabetic A1c levels in those with self-reported non-prediabetes. Sample participants of the five ethnic groups were limited to those 20 years of age and older, who had completed the diabetes questionnaire and had A1c measured. Descriptive statistics were computed for all variables. χ2 were performed on all five ethnic groups to examine significant differences of normoglycemic, prediabetic and diabetic A1c levels in those with self-reported prediabetes, and prediabetic and diabetic A1c levels in those with self-reported non-prediabetes. RESULTS: This study demonstrates that of the five different ethnic groups from NHANES 2007-2008 to NHANES 2009-2010, Non-Hispanic Whites (6.5% increase) and Non-Hispanic Blacks (0.2% increase) were the only two groups with an increase in the number of self-reported prediabetes. Although the overall percentage of Mexican Americans who self-reported prediabetes had remained the same (5%) from NHANES 2007-2008 to NHANES 2009-2010, χ2 analysis showed significant differences when examining the different ranges of A1c levels (normoglycemic, prediabetic and diabetic). Among Mexican Americans who self-reported prediabetes, normoglycemic (P = 0.0001) and diabetic (P = 0.0001) A1c levels from NHANES 2007-2008 to NHANES 2009-2010. For Non-Hispanic Whites who self-reported prediabetes, prediabetic (P = 0.0222); and diabetic (P ≤ 0.0001) A1c levels from NHANES 2007-2008 to

  19. The influence of feeding and fasting on plasma metabolites in the dogfish shark (Squalus acanthias).

    PubMed

    Wood, Chris M; Walsh, Patrick J; Kajimura, Makiko; McClelland, Grant B; Chew, Shit F

    2010-04-01

    Dogfish sharks are opportunistic predators, eating large meals at irregular intervals. Here we present a synthesis of data from several previous studies on responses in plasma metabolites after natural feeding and during prolonged fasting (up to 56days), together with new data on changes in plasma concentrations of amino acids and non-esterified fatty acids. Post-prandial and long-term fasting responses were compared to control sharks fasted for 7days, a typical inter-meal interval. A feeding frenzy was created in which dogfish were allowed to feed naturally on dead teleosts at two consumed ration levels, 2.6% and 5.5% of body weight. Most responses were more pronounced at the higher ration level. These included increases in urea and TMAO concentrations at 20h, followed by stability through to 56days of fasting. Ammonia levels were low and exhibited little short-term response to feeding, but declined to very low values during the extended fast. Glucose and beta-hydroxybutyrate both fell after feeding, the latter to a greater and more prolonged extent (up to 60h), whereas acetoacetate did not change. During prolonged fasting, glucose concentrations were well regulated, but beta-hydroxybutyrate increased to 2-3-fold control levels. Total plasma amino acid concentrations increased in a biphasic fashion, with peaks at 6-20h, and 48-60h after the meal, followed by homeostasis during the extended fast. Essential and non-essential amino acids generally followed this same pattern, though some exhibited different trends after feeding: taurine, beta-alanine, and glycine (decreases or stability), alanine and glutamine (modest prolonged increases), and threonine, serine, asparagine, and valine (much larger short-term increases). Plasma non-esterified fatty acid concentrations declined markedly through 48h after the 2.6% meal. These data are interpreted in light of companion studies showing elevations in aerobic metabolic rate, urea production, rectal gland function, metabolic

  20. Hemoglobin A1c predicts healing rate in diabetic wounds.

    PubMed

    Christman, Andrea L; Selvin, Elizabeth; Margolis, David J; Lazarus, Gerald S; Garza, Luis A

    2011-10-01

    Lower-extremity wounds are a major complication of diabetes. Hemoglobin A1c (HbA1c) reflects glycemia over 2-3 months and is the standard measure used to monitor glycemia in diabetic patients, but results from studies have not shown a consistent association of HbA1c with wound healing. We hypothesized that elevated HbA1c would be most associated with poor wound healing. To test this hypothesis, we conducted a retrospective cohort study of 183 diabetic individuals treated at the Johns Hopkins Wound Center. Our primary outcome was wound-area healing rate (cm(2) per day). Calibrated tracings of digital images were used to measure wound area. We estimated coefficients for healing rate using a multiple linear regression model controlling for clustering of wounds within individuals and other common clinic variables. The study population was 45% female and 41% African American, with a mean age of 61 years. Mean HbA1c was 8.0%, and there were 2.3 wounds per individual (310 wounds total). Of all measures assessed, only HbA1c was significantly associated with wound-area healing rate. In particular, for each 1.0% point increase in HbA1c, the daily wound-area healing rate decreased by 0.028 cm(2) per day (95% confidence interval: 0.003, 0.0054, P = 0.027). Our results suggest that glycemia, as assessed by HbA1c, may be an important biomarker in predicting wound-healing rate in diabetic patients.JID JOURNAL CLUB ARTICLE: For questions, answers, and open discussion about this article, please go to http://www.nature.com/jid/journalclub.

  1. Moringa Oleifera leaf extract increases plasma antioxidant status associated with reduced plasma malondialdehyde concentration without hypoglycemia in fasting healthy volunteers.

    PubMed

    Ngamukote, Sathaporn; Khannongpho, Teerawat; Siriwatanapaiboon, Marent; Sirikwanpong, Sukrit; Dahlan, Winai; Adisakwattana, Sirichai

    2016-12-29

    To investigate the effect of Moringa Oleifera leaf extract (MOLE) on plasma glucose concentration and antioxidant status in healthy volunteers. A randomized crossover design was used in this study. Healthy volunteers were randomly assigned to receive either 200 mL of warm water (10 cases) or 200 mL of MOLE (500 mg dried extract, 10 cases). Blood samples were drawn at 0, 30, 60, 90, and 120 min for measuring fasting plasma glucose (FPG), ferric reducing ability of plasma (FRAP), Trolox equivalent antioxidant capacity (TEAC) and malondialdehyde (MDA). FPG concentration was not signifificantly different between warm water and MOLE. The consumption of MOLE acutely improved both FRAP and TEAC, with increases after 30 min of 30 μmol/L FeSO4 equivalents and 0.18 μmol/L Trolox equivalents, respectively. The change in MDA level from baseline was signifificantly lowered after the ingestion of MOLE at 30, 60, and 90 min. In addition, FRAP level was negatively correlated with plasma MDA level after an intake of MOLE. MOLE increased plasma antioxidant capacity without hypoglycemia in human. The consumption of MOLE may reduce the risk factors associated with chronic degenerative diseases.

  2. Independent association of HbA(1c) and incident cardiovascular disease in people without diabetes.

    PubMed

    Adams, Robert J; Appleton, Sarah L; Hill, Catherine L; Wilson, David H; Taylor, Anne W; Chittleborough, Catherine R; Gill, Tiffany K; Ruffin, Richard E

    2009-03-01

    Recent studies have reported no association between elevated glycated hemoglobin (HbA(1c)) and incident cardiovascular disease (CVD) among women without diabetes. This study describes associations between HbA(1c) and new onset CVD in a representative adult population cohort. Assessment of participants in The North West Adelaide Health Study (NWAHS), a population study of randomly selected adults (age > or =18 years, n = 4,060), included measurement of height, weight, blood pressure, fasting lipids, glucose, and HbA(1c). A self-completed questionnaire assessed doctor-diagnosed diabetes, CVD and stroke, smoking status, and demographics. The cohort was followed for an average 3.5 years. Of the 2,913 adults free of diabetes at baseline and follow-up, 94 (3.5%) reported new onset coronary heart disease (CHD) and/or stroke. Compared with those with an HbA(1c) < or =5.0%, risk of new onset CVD was increased in those with HbA(1c) 5.4-5.6% (odds ratio (OR) 2.5, 95% confidence interval (CI) 1.4, 4.6), and > or =5.7% (OR 1.9, 95% CI 1.1, 3.4), after adjustment for other risk factors. The association was stronger in women than men (P = 0.03), and attenuated to only a small degree by addition of impaired fasting glucose (IFG), hypertension, hypercholesterolemia, BMI, waist circumference, or smoking to the model. Elevated HbA(1c) is related to new onset CVD over a relatively short follow-up period in both men and women without diabetes and who do not develop diabetes, after adjustment for other major risk factors. Unlike previous studies, this relationship was not substantially attenuated by other traditional risk factors.

  3. Study of fast capillary discharge plasma columns for soft x-ray amplifiers

    NASA Astrophysics Data System (ADS)

    Rocca, Jorge J. G.; Cortazar, O. D.; Szapiro, Benito T.; Tomasel, Fernando G.; Hartshorn, D.

    1994-02-01

    The efficient generation, by a fast discharge, of capillary plasma channels containing Ne-like and Ni-like ions for collisionally excited soft-x-ray lasers is reported. Rapid pulse excitation of capillary channels 1.5 mm in diameter with currents of less than 70 kA produced Ca and Ti plasmas in which atoms are ionized up to the F-like state. Line emission at the wavelengths corresponding to the 3p - 3s and 3d - 3p transitions of Ne-like Ca has been observed.

  4. Monochromatic x-ray sampling streak imager for fast-ignitor plasma observation

    SciTech Connect

    Tanabe, Minoru; Fujiwara, Takashi; Fujioka, Shinsuke; Nishimura, Hiroaki; Shiraga, Hiroyuki; Azechi, Hiroshi; Mima, Kunioki

    2008-10-15

    Ultrafast two-dimensional (2D) x-ray imaging is required to investigate the dynamics of fast-heated core plasma in inertial confinement fusion research. A novel x-ray imager, consisting of two toroidally bent Bragg crystals and an ultrafast 2D x-ray imaging camera, has been demonstrated. Sequential and 2D monochromatic x-ray images of laser-imploded core plasma were obtained with a temporal resolution of 20 ps, a spatial resolution of 31 {mu}m, and a spectral resolution of over 200, simultaneously.

  5. Solitary fast magnetosonic waves propagating obliquely to the magnetic field in cold collisionless plasma

    SciTech Connect

    Kichigin, G. N.

    2016-01-15

    Solutions describing solitary fast magnetosonic (FMS) waves (FMS solitons) in cold magnetized plasma are obtained by numerically solving two-fluid hydrodynamic equations. The parameter domain within which steady-state solitary waves can propagate is determined. It is established that the Mach number for rarefaction FMS solitons is always less than unity. The restriction on the propagation velocity leads to the limitation on the amplitudes of the magnetic field components of rarefaction solitons. It is shown that, as the soliton propagates in plasma, the transverse component of its magnetic field rotates and makes a complete turn around the axis along which the soliton propagates.

  6. Development of fast steering mirror control system for plasma heating and diagnostics

    SciTech Connect

    Okada, K. Kubo, S.; Shimozuma, T.; Yoshimura, Y.; Igami, H.; Takahashi, H.; Tanaka, K.; Kobayashi, S.; Ito, S.; Mizuno, Y.; Ogasawara, S.; Nishiura, M.

    2014-11-15

    A control system for a fast steering mirror has been newly developed for the electron cyclotron heating (ECH) launchers in the large helical device. This system enables two-dimensional scan during a plasma discharge and provides a simple feedback control function. A board mounted with a field programmable gate array chip has been designed to realize feedback control of the ECH beam position to maintain higher electron temperature by ECH. The heating position is determined by a plasma diagnostic signal related to the electron temperature such as electron cyclotron emission and Thomson scattering.

  7. Self-Consistent Modification of a Fast Tail Distribution by Resonant Fields in Nonuniform Plasmas,

    DTIC Science & Technology

    1987-08-01

    to plasmas having a long density scale length L, i.e., (kDL)J’/>> I, where kJ’ is the Debye wave number of the warm background electrons. A threshold...study consists of a one- dimensional, warm fluid background plasma having a zero order density profile no(z), which can be well approximated in the...particle interaction analyzed here is restricted to a fast tail distribution which is initially spatially uniform while the nonuniform warm background

  8. Fast magnetic field annihilation driven by two laser pulses in underdense plasma

    SciTech Connect

    Gu, Y. J.; Kumar, D.; Weber, S.; Korn, G.; Klimo, O.; Bulanov, S. V.; Esirkepov, T. Zh.

    2015-10-15

    Fast magnetic annihilation is investigated by using 2.5-dimensional particle-in-cell simulations of two parallel ultra-short petawatt laser pulses co-propagating in underdense plasma. The magnetic field generated by the laser pulses annihilates in a current sheet formed between the pulses. Magnetic field energy is converted to an inductive longitudinal electric field, which efficiently accelerates the electrons of the current sheet. This new regime of collisionless relativistic magnetic field annihilation with a timescale of tens of femtoseconds can be extended to near-critical and overdense plasma with the ultra-high intensity femtosecond laser pulses.

  9. Interpretation of HbA1c : association with mean cell volume and haemoglobin concentration.

    PubMed

    Simmons, D; Hlaing, T

    2014-11-01

    The utility of HbA1c in diabetes diagnosis is reduced in settings associated with altered haemoglobin glycation. We have studied whether HbA1c varies with mean cell volume and mean cell haemoglobin concentration as measures of haemoglobin metabolism. Randomly selected adults from rural Victoria, Australia, were invited for biomedical assessment. After excluding patients with known diabetes and/or serum creatinine ≥ 0.12 mmol/l, 1315 adults were included. Demography, arthropometric measurements, oral glucose tolerance test, analyses of full blood count and HbA1c were undertaken. After adjusting for age, sex, ethnicity, BMI, town and socio-economic status, there were no significant differences in haemoglobin, mean cell volume or mean cell haemoglobin concentration by glycaemic status (defined by oral glucose tolerance test). HbA1c was significantly and independently associated with fasting glucose, town, mean cell haemoglobin concentration, ethnicity, age and BMI among men < 50 years (R² = 33.8%); fasting glucose, 2-h glucose, mean cell haemoglobin concentration and town among men ≥ 50 years (R² = 47.9%); fasting glucose, mean cell volume, mean cell haemoglobin concentration, town, 2-h glucose and age among women < 50 years (R² = 46.3%); fasting glucose, mean cell haemoglobin concentration, mean cell volume and 2-h glucose among women ≥ 50 years (R² = 51.6%). A generalized linear model showed a gradient from an adjusted mean HbA1c of 36 (95% CI 34-38) mmol/mol with a mean cell haemoglobin concentration of ≤ 320 g/l to 30 (95% CI 29-31) mmol/mol with a mean cell haemoglobin concentration of > 370 g/l. The gradient across mean cell volume was negative, but only by 1 mmol/mol (0.1%) HbA1c . A mean HbA1c difference of 5 mmol/mol (0.5%) across the mean cell haemoglobin concentration reference range suggests that an accompanying full blood count examination may be required for its use in the diagnosis of diabetes. Further studies are required to confirm this.

  10. Challenges in HbA1c Analysis and Reporting in Patients with Variant Hemoglobins.

    PubMed

    Sultana, T A; Sheme, Z A; Sultana, G S; Sultana, B; Mishu, F A; Khan, N Z; Sarkar, B C; Muttalib, M A; Khan, S A; Choudhury, S; Mahtab, H

    2016-04-01

    Hemoglobin A1c (HbA(1)c) is a well-established indicator of mean glycemia. The presence of genetic variants of hemoglobin can profoundly affect the accuracy of HbA(1)c measurements. Variants of hemoglobin especially Hemoglobin E (HbE) is prevalent in South East Asia including Bangladesh. The objective of our study is to compare the HbA(1)c values measured on high performance liquid chromatography (HPLC) and Turbidimetric Inhibition Immunoassay (TINIA) in diabetic patients with variant hemoglobins including HbE. A total of 7595 diabetic patients receiving treatment at BIRDEM General Hospital were analyzed for HbA(1)c results within a period of two months from December 2013 to January 2014. Seventy two cases out of 7595 (0.95%) had either undetectable or below normal HbA(1)c levels (males-33 and females-39; ratio = 0.82:1) by HPLC method. In 34(0.45%) cases, HbA(1)c value was undetectable by HPLC method but was in the reportable range by TINIA method. In the other 38 (0.55%) cases, HbA(1)c levels were below the reportable range (<4%) by HPLC method but were in the normal or higher range by TINIA method. TINIA method did not agree with HPLC method on Bland Altman plot in the 38 cases with below normal HbA(1)c levels, [Mean bias -5.2(-9.3 to 1.0), 95% CI] but agreed very well [mean bias -0.21 (-0.84 to 0.42), y=1.1037+0.776X; r(2)=0.30, p<0.01] in controls. In control group mean MCV was 83.80±7.48 and in study group was 73.65±10.44. Alkaline electrophoresis confirmed the variant hemoglobin to be HbE. The fasting blood sugar levels of all the 72 cases correlated strongly with TINIA method (r(2) =0.75, p<0.0001) but not with HPLC (r = 0.24, p=0.13). In our regions where populations have a high prevalence of Hb variant, proper knowledge of hemoglobin variants which affect the measurements HbA(1)c level is essential. MCV of 80fl or below may serve as a rough guide to select samples that require analysis by TINIA method. Moreover, HPLC may be a convenient and inexpensive

  11. The effect of exercise intensity on plasma and tissue acyl ghrelin concentrations in fasted rats.

    PubMed

    Fathi, Rozita; Ghanbari-Niaki, Abbass; Kraemer, Robert R; Talebi-Garakani, Elahe; Saghebjoo, Marziyeh

    2010-12-10

    This study was conducted to investigate the effect of exercise training and feeding status on plasma and tissue acyl ghrelin concentrations. Thirty-two, eight-week-old male Wistar rats (185±5g) were randomly assigned to one of four groups: high intensity (HI: 34 m/min ~80-85% VO(2)max), moderate intensity (MI: 28 m/min ~70-75% VO(2)max), low intensity (LI: 20 m/min ~50-55% VO(2)max), and sedentary control (SED) groups. All experimental groups performed a 12-week exercise program consisting of treadmill running on a 0° slope for 1 h/day, 5 days/week at their respective training intensity. Twenty four hours following the last training session the animals completed a 12h fast. Rats were then killed, blood was collected and plasma separated; the fundus and soleus muscle were excised and frozen in liquid nitrogen for later analysis. Fasting levels of circulating acyl ghrelin and acyl ghrelin content in the soleus muscle and fundus, as well as glycogen in the soleus muscle were measured. Data were analyzed using one-way ANOVA. Results demonstrated that 12 weeks of exercise training combined with a 12h fast significantly increased plasma as well as soleus muscle concentrations of acyl ghrelin in the HI and MI groups (p<0.05) and reduced acyl ghrelin concentrations in the fundus (p<0.05). The results of the study indicate that chronic treadmill exercise training enhances fasting plasma acyl ghrelin in an intensity-dependent manner which is accompanied by a significant increase in soleus muscle and reduction in fundus acyl ghrelin levels. Copyright © 2010 Elsevier B.V. All rights reserved.

  12. Effects of peanut processing on body weight and fasting plasma lipids.

    PubMed

    McKiernan, Fiona; Lokko, Phoebe; Kuevi, Anna; Sales, Regiane L; Costa, Neuza M B; Bressan, Josefina; Alfenas, Rita C G; Mattes, Richard D

    2010-08-01

    Peanuts and peanut butter are commonly consumed as a snack, meal component and ingredient in various commercial products. Their consumption is associated with reduced CVD risk and they pose little threat to positive energy balance. However, questions have arisen as to whether product form (e.g. whole nut v. butter) and processing properties (e.g. roasting and adding flavours) may compromise their positive health effects. The present study investigated the effects of peanut form and processing on two CVD risk factors: fasting plasma lipids and body weight. One hundred and eighteen adults (forty-seven males and seventy-one females; age 29.2 (sd 8.4) years; BMI 30.0 (sd 4.5) kg/m2) from Brazil, Ghana and the United States were randomised to consume 56 g of raw unsalted (n 23), roasted unsalted (n 24), roasted salted (n 23) or honey roasted (n 24) peanuts, or peanut butter (n 24) daily for 4 weeks. Peanut form and processing did not differentially affect body weight or fasting plasma lipid responses in the total sample. However, HDL-cholesterol increased significantly at the group level, and total cholesterol, LDL-cholesterol and TAG concentrations decreased significantly in individuals classified as having elevated fasting plasma lipids compared with those with normal fasting plasma lipids. These observations suggest that the processing attributes assessed in this trial do not compromise the lipid-lowering effects of peanuts, and do not negatively impact body weight. Further studies are warranted to determine the effects of form and processing on other health risk factors.

  13. Fast Formation of Magnetic Islands in a Plasma in the Presence of Counterstreaming Electrons

    SciTech Connect

    Califano, F.; Attico, N.; Pegoraro, F.; Bertin, G.; Bulanov, S. V.

    2001-06-04

    With the help of 2D-3V (two dimensional in space and three dimensional in velocity) Vlasov simulations we show that the magnetic field generated by the electromagnetic current filamentation instability develops magnetic islands due to the onset of a fast reconnection process that occurs on the electron dynamical time scale. This process is relevant to magnetic channel coalescence in relativistic laser plasma interactions.

  14. Plasma epinephrine predicts fasting glucose in centrally obese African-American women.

    PubMed

    Surwit, Richard S; Williams, Redford B; Lane, James D; Feinglos, Mark N; Kuhn, Cynthia M; Georgiades, Anastasia

    2010-09-01

    The high prevalence of diabetes in African-American (AA) women has been widely assumed to be related to the greater prevalence of obesity in this group. Catecholamine release acting on central adipose tissue has been proposed to be a contributing factor. The aim of this article was to examine the interaction of plasma catecholamines and central adiposity on fasting and nonfasting glucose levels in two separate samples. In both studies, the women were healthy, nondiabetic of similar age. In addition, both studies assessed plasma epinephrine (EPI) and norepinephrine (NOREPI) levels collected at three time points. In study 1, catecholamines were measured during a standardized laboratory mental stress task and in study 2, they were measured during the initial phase (10 min) of an intravenous glucose tolerance test (IVGTT). Results from both studies revealed significant effects of EPI on fasting glucose in the obese women. In study 1, mean EPI levels were significantly related to fasting glucose in AA women with high trunk fat (beta = 0.60, P < 0.001). Because high BMI was associated with high trunk fat in women, we used BMI >30 as a proxy for high trunk fat (>32%) in study 2. In study 2, EPI response to the glucose bolus was a strong predictor of fasting glucose in AA women with BMI >30 (beta = 0.75, P < 0.003). We conclude that the effect of central adiposity on fasting glucose may be moderated by plasma EPI. This suggests that adrenal medullary activity could play a role in the pathophysiology of type 2 diabetes.

  15. Existence domains of slow and fast ion-acoustic solitons in two-ion space plasmas

    SciTech Connect

    Maharaj, S. K.; Bharuthram, R.; Singh, S. V. Lakhina, G. S.

    2015-03-15

    A study of large amplitude ion-acoustic solitons is conducted for a model composed of cool and hot ions and cool and hot electrons. Using the Sagdeev pseudo-potential formalism, the scope of earlier studies is extended to consider why upper Mach number limitations arise for slow and fast ion-acoustic solitons. Treating all plasma constituents as adiabatic fluids, slow ion-acoustic solitons are limited in the order of increasing cool ion concentrations by the number densities of the cool, and then the hot ions becoming complex valued, followed by positive and then negative potential double layer regions. Only positive potentials are found for fast ion-acoustic solitons which are limited only by the hot ion number density having to remain real valued. The effect of neglecting as opposed to including inertial effects of the hot electrons is found to induce only minor quantitative changes in the existence regions of slow and fast ion-acoustic solitons.

  16. Stability properties and fast ion confinement of hybrid tokamak plasma configurations

    NASA Astrophysics Data System (ADS)

    Graves, J. P.; Brunetti, D.; Pfefferle, D.; Faustin, J. M. P.; Cooper, W. A.; Kleiner, A.; Lanthaler, S.; Patten, H. W.; Raghunathan, M.

    2015-11-01

    In hybrid scenarios with flat q just above unity, extremely fast growing tearing modes are born from toroidal sidebands of the near resonant ideal internal kink mode. New scalings of the growth rate with the magnetic Reynolds number arise from two fluid effects and sheared toroidal flow. Non-linear saturated 1/1 dominant modes obtained from initial value stability calculation agree with the amplitude of the 1/1 component of a 3D VMEC equilibrium calculation. Viable and realistic equilibrium representation of such internal kink modes allow fast ion studies to be accurately established. Calculations of MAST neutral beam ion distributions using the VENUS-LEVIS code show very good agreement of observed impaired core fast ion confinement when long lived modes occur. The 3D ICRH code SCENIC also enables the establishment of minority RF distributions in hybrid plasmas susceptible to saturated near resonant internal kink modes.

  17. Numerical studies of fast ion slowing down rates in cool magnetized plasma using LSP

    NASA Astrophysics Data System (ADS)

    Evans, Eugene S.; Kolmes, Elijah; Cohen, Samuel A.; Rognlien, Tom; Cohen, Bruce; Meier, Eric; Welch, Dale R.

    2016-10-01

    In MFE devices, rapid transport of fusion products from the core into the scrape-off layer (SOL) could perform the dual roles of energy and ash removal. The first-orbit trajectories of most fusion products from small field-reversed configuration (FRC) devices will traverse the SOL, allowing those particles to deposit their energy in the SOL and be exhausted along the open field lines. Thus, the fast ion slowing-down time should affect the energy balance of an FRC reactor and its neutron emissions. However, the dynamics of fast ion energy loss processes under the conditions expected in the FRC SOL (with ρe <λDe) are analytically complex, and not yet fully understood. We use LSP, a 3D electromagnetic PIC code, to examine the effects of SOL density and background B-field on the slowing-down time of fast ions in a cool plasma. As we use explicit algorithms, these simulations must spatially resolve both ρe and λDe, as well as temporally resolve both Ωe and ωpe, increasing computation time. Scaling studies of the fast ion charge (Z) and background plasma density are in good agreement with unmagnetized slowing down theory. Notably, Z-scaling represents a viable way to dramatically reduce the required CPU time for each simulation. This work was supported, in part, by DOE Contract Number DE-AC02-09CH11466.

  18. Hollow Cathode and Keeper-region Plasma Measurements Using Ultra-fast Miniature Scanning Probes

    NASA Technical Reports Server (NTRS)

    Goebel, Dan M.; Jameson, Kristina K.; Watkins, Ron M.; Katz, Ira

    2004-01-01

    In order to support the development of comprehensive performance and life models for future deep space missions that will utilize ion thrusters, we have undertaken a study of the plasma structure in hollow cathodes using an new pneumatic scanning probe diagnostic. This device is designed to insert a miniature probe directly into the hollow cathode orifice from either the upstream insert region in the interior of the hollow cathode, or from the downstream keeper-plasma region at the exit of the hollow cathode, to provide complete axial profiles of the discharge plasma parameters. Previous attempts to diagnose this region with probes was Limited by the melting of small probes in the intense discharge near the orifice, or caused significant perturbation of the plasma by probes large enough to survive. Our new probe is extremely compact, and when configured as a single Langmuir probe, the ceramic tube insulator is only 0.5mm in diameter and the current collecting conductor has a total area of 0.002 cm2. A series of current-voltage characteristics are obtained by applying a rapid sawtooth voltage waveform to the probe as it is scanned by the pneumatic actuator into and out of the plasma region, The bellow-sealed pneumatic drive scans the probe 4 cm in the cathode insert region and 10 cm in the anode/keeper plasmas region at average speeds of about 1 mm/msec, and the residence time at the end of the insertion stroke in the densest part of the plasma near the orifice is measured to be only 10 msec. Since the voltage sweep time is fast compared to the motion of the probe, axial profiles of the plasma density, temperature and potential with reasonable spatial resolution are obtained. Measurements of the internal cathode pressures and the axial plasma-parameter profiles for a hollow cathode operating at discharge currents of up to 35 A in xenon will be presented.

  19. Association of Postbreakfast Triglyceride and Visit-to-Visit Annual Variation of Fasting Plasma Glucose with Progression of Diabetic Nephropathy in Patients with Type 2 Diabetes

    PubMed Central

    Kitaoka, Kaori; Takenouchi, Akiko; Tsuboi, Ayaka; Fukuo, Keisuke

    2016-01-01

    Urinary albumin/creatinine ratio (ACR) was measured at baseline and after a median follow-up of 6.0 years in 161 patients with type 2 diabetes. Intrapersonal means and SD of HbA1c, systolic BP, fasting, and postmeal plasma glucose (FPG and PMPG, resp.) and serum triglycerides (FTG and PMTG, resp.) were calculated in each patient during the first 12 months after enrollment. Associations of these variables with nephropathy progression (15 patients with progression of albuminuric stages and 5 with ACR doubling within the microalbuminuric range) were determined by multivariate logistic regression analysis providing odds ratio with 95% confidential interval. Patients with nephropathy progression, compared with those without nephropathy progression, had higher HbA1c (p < 0.01). They also had higher means and SD of FPG (both p < 0.05), FTG (both p < 0.05), and PMTG (p = 0.001). Multivariate logistic regression analysis demonstrated that SD-FPG (1.036, 1.001–1.073, p = 0.04) and PMTG (1.013, 1.008–1.040, p = 0.001) were significant predictors of progression of nephropathy even after adjustment for mean FPG and SD-FTG, age, sex, BMI, waist circumference, diabetes duration and therapy, means and SDs of HbA1c, PPG, FTG and systolic BP, baseline ACR, smoking status, and uses of antihypertensive and lipid-lowering medications. Consistency of glycemic control and management of postmeal TG may be important to prevent nephropathy progression in type 2 diabetic patients. PMID:27975066

  20. Association of Postbreakfast Triglyceride and Visit-to-Visit Annual Variation of Fasting Plasma Glucose with Progression of Diabetic Nephropathy in Patients with Type 2 Diabetes.

    PubMed

    Kitaoka, Kaori; Takenouchi, Akiko; Tsuboi, Ayaka; Fukuo, Keisuke; Kazumi, Tsutomu

    2016-01-01

    Urinary albumin/creatinine ratio (ACR) was measured at baseline and after a median follow-up of 6.0 years in 161 patients with type 2 diabetes. Intrapersonal means and SD of HbA1c, systolic BP, fasting, and postmeal plasma glucose (FPG and PMPG, resp.) and serum triglycerides (FTG and PMTG, resp.) were calculated in each patient during the first 12 months after enrollment. Associations of these variables with nephropathy progression (15 patients with progression of albuminuric stages and 5 with ACR doubling within the microalbuminuric range) were determined by multivariate logistic regression analysis providing odds ratio with 95% confidential interval. Patients with nephropathy progression, compared with those without nephropathy progression, had higher HbA1c (p < 0.01). They also had higher means and SD of FPG (both p < 0.05), FTG (both p < 0.05), and PMTG (p = 0.001). Multivariate logistic regression analysis demonstrated that SD-FPG (1.036, 1.001-1.073, p = 0.04) and PMTG (1.013, 1.008-1.040, p = 0.001) were significant predictors of progression of nephropathy even after adjustment for mean FPG and SD-FTG, age, sex, BMI, waist circumference, diabetes duration and therapy, means and SDs of HbA1c, PPG, FTG and systolic BP, baseline ACR, smoking status, and uses of antihypertensive and lipid-lowering medications. Consistency of glycemic control and management of postmeal TG may be important to prevent nephropathy progression in type 2 diabetic patients.

  1. The Relationship of Ion Beams and Fast Flows in the Plasma Sheet Boundary Layer

    NASA Technical Reports Server (NTRS)

    Parks, G. K.; Reme, H.; Lin, R. P.; Sanderson, T.; Germany, G. A.; Spann, James F., Jr.; Brittnacher, M. J.; McCarthy, M.; Chen, L. J.; Larsen, D.; hide

    1998-01-01

    We report new findings on the behavior of plasmas in the vicinity of the plasma sheet boundary layer (PSBL). A large geometrical factor detector on WIND (3D plasma experiment) has discovered a unidirectional ion beam streaming in the tailward direction missed by previous observations. This tailward beam is as intense as the earthward streaming beam and it is found just inside the outer edge of the PSBL where earthward streaming beams are observed. The region where this tailward beam is observed includes an isotropic plasma component which is absent in the outer edge where earthward streaming beams are found. When these different distributions are convolved to calculate the velocity moments, fast flows (greater than 400 km/s) result in the earthward direction and much slower flows (less than 200 km/s) in the tailward direction. These new findings are substantially different from previous observations. Thus, the interpretation of fast flows and earthward and counterstreaming ion beams in terms of a neutral line model must be reexamined.

  2. Fast-discharge excitation of hot capillary plasmas for soft-x-ray amplifiers

    NASA Astrophysics Data System (ADS)

    Rocca, J. J.; Cortázar, O. D.; Szapiro, B.; Floyd, K.; Tomasel, F. G.

    1993-02-01

    High-temperature (Te>150 eV), small-diameter (~200 μm) plasma columns have been efficiently generated by very fast (13 ns rise time, 28 ns full width at half maximum) pulsed discharge excitation of capillary channels filled with preionized gas. Discharges in argon-filled capillaries at currents between 20 and 60 kA produced plasmas with Ar x-AR xiv line emission, in which the degree of ionization was controlled by the magnitude of the current pulse. The characteristics of these plasmas differ from those created by vacuum discharges in the same capillaries and approach those necessary for soft-x-ray amplification in low-Z elements.

  3. Fast gated imaging of the collisionless interaction of a laser-produced and magnetized ambient plasma

    NASA Astrophysics Data System (ADS)

    Heuer, P. V.; Schaeffer, D. B.; Knall, E. N.; Constantin, C. G.; Hofer, L. R.; Vincena, S.; Tripathi, S.; Niemann, C.

    2017-03-01

    The collisionless interaction between a laser-produced carbon plasma (LPP) and an ambient hydrogen plasma in a background magnetic field was studied in a high shot rate experiment which allowed large planar data sets to be collected. Plasma fluorescence was imaged with a fast-gated camera with and without carbon line filters. The resulting images were compared to high-resolution two dimensional (2D) data planes of measured magnetic field and electric potential. Several features in the fluorescence images coincide with features in the field data. Relative intensity was used to determine the initial angular velocity distribution of the LPP and the growth rate of instabilities. These observations may be applied to understand fluorescence images from similar experiments where 2D planes of field data are not available.

  4. EFFECTS OF LASER RADIATION ON MATTER: Fast holographic cinematography of a laser plasma

    NASA Astrophysics Data System (ADS)

    Barikhin, B. A.; Ivanov, A. Yu; Nedolugov, V. I.

    1990-11-01

    A fast holographic cinematography method was used in an investigation of a laser plasma initiated at the surfaces of metal samples by pulses from a rhodamine laser. The time evolution of the electron densities and heavy-particle concentrations was determined and a study was made of the nature of motion of a shock wave front. A weak dependence of the evolution of the shock wave velocity on the target materials (aluminum, copper, zinc) was observed in the average power density range 10-25 MW/cm2. A faster increase in the dimensions of a refracting plasma region, compared with a luminous region, and strong expulsion of cold air by an erosion plasma were recorded.

  5. Interpretation of fast measurements of plasma potential, temperature and density in SOL of ASDEX Upgrade

    NASA Astrophysics Data System (ADS)

    Horacek, J.; Adamek, J.; Müller, H. W.; Seidl, J.; Nielsen, A. H.; Rohde, V.; Mehlmann, F.; Ionita, C.; Havlíčková, E.; ASDEX Upgrade Team

    2010-10-01

    This paper focuses on interpretation of fast (1 µs) and local (2-4 mm) measurements of plasma density, potential and electron temperature in the edge plasma of tokamak ASDEX Upgrade. Steady-state radial profiles demonstrate the credibility of the ball-pen probe. We demonstrate that floating potential fluctuations measured by a Langmuir probe are dominated by plasma electron temperature rather than potential. Spatial and temporal scales are found consistent with expectations based on interchange-driven turbulence. Conditionally averaged signals found for both potential and density are also consistent; however, those for temperature show an unexpected ~4 mm wide decrease by 10% at the very centre of a blob. In the wall shadow, temperature measured by the swept Langmuir probe yields values ~10 eV, whilst the ball-pen temperature gradient is more steep and credible, dropping down to ~1 eV.

  6. Fast functionalization of multi-walled carbon nanotubes by an atmospheric pressure plasma jet.

    PubMed

    Kolacyak, Daniel; Ihde, Jörg; Merten, Christian; Hartwig, Andreas; Lommatzsch, Uwe

    2011-07-01

    The afterglow of an atmospheric pressure plasma has been used for the fast oxidative functionalization of multi-walled carbon nanotubes (MWCNTs). Scanning electron microscopy and Raman spectroscopy demonstrate that the MWCNT morphology is mostly preserved when the MWCNTs are dispersed in a solvent and injected as a spray into the plasma. Contact angle measurements show that this approach enhances the wettability of MWCNTs and reduces their sedimentation in an aqueous dispersion. X-ray photoelectron spectroscopy, IR spectroscopy, and electrokinetic measurements show that oxygen plasma incorporates about 6.6 at.% of oxygen and creates mainly hydroxyl and carboxyl functional groups on the MWCNT surface. The typical effective treatment time is estimated to be in the range of milliseconds. The approach is ideally suited for combination with the industrial gas phase CVD synthesis of MWCNTs.

  7. [Assays of HbA1c and Amadori products in human biology].

    PubMed

    Gillery, P

    2014-09-01

    Different Amadori products, formed during the early steps of the non-enzymatic glycation of proteins, may be assayed in current practice in human biology. The most important marker is HbA1c, resulting from the binding of glucose to the N-terminal extremity of HbA beta chains. HbA1c may be evaluated by various techniques (ion exchange or affinity high performance liquid chromatography, capillary electrophoresis, immunoassay, enzymatic technique) and is considered the best marker of diabetic patient survey. Due to its irreversible and cumulative formation, it provides a retrospective information on the glycemic balance over the four to eight weeks preceding blood collection. It benefits from an international standardization, based on a reference method using liquid chromatography coupled to capillary electrophoresis or mass spectrometry, maintained by an international network of reference laboratories. When HbA1c assay cannot be used (anemia, hemolysis, hemoglobinopathy) or when a shorter period of glycemic equilibrium must be evaluated (child and adolescent, pregnancy, therapeutic changes), other Amadori products may be assayed, like plasma fructosamine (all plasma glycated proteins) or glycated albumin. Nevertheless, these assays are less used in practice, because their semiological value has been less evidenced. Besides, fructosamine assay lacks specificity, and glycated albumin assay has been described recently. An expanding use of HbA1c assay is expected, especially for the diagnosis of diabetes mellitus and the evaluation of other risks, especially cardiovascular ones. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  8. Dietary fiber intake is associated with HbA1c level among prevalent patients with type 2 diabetes in Pudong New Area of Shanghai, China.

    PubMed

    Jiang, Junyi; Qiu, Hua; Zhao, Genming; Zhou, Yi; Zhang, Zhijie; Zhang, Hong; Jiang, Qingwu; Sun, Qiao; Wu, Hongyan; Yang, Liming; Ruan, Xiaonan; Xu, Wang-Hong

    2012-01-01

    Dietary factors play an important role in glycemic control in diabetic patients. However, little is known about their effects among Chinese diabetic patients, whose diets are typically abundant in fiber and high in glycemic index (GI) values. 934 patients with type 2 diabetes and 918 healthy volunteers from Pudong New Area, Shanghai, China, were interviewed during the period of Oct-Dec, 2006 to elicit demographic characteristics and lifestyle factors. Dietary habits were assessed using a validated food frequency questionnaire. Anthropometric measurements, bio-specimen collection and biochemical assays were conducted at the interview according to a standard protocol. In this population, diabetic patients consumed lower levels of energy and macronutrients but had higher levels of fasting plasma glucose (FPG), glycolated hemoglobin A1c (HbA1c), triglyceride and body mass index than healthy adults. While the average consumption levels of the nutrients among diabetic patients did not vary along duration of the disease, the average levels of FPG and HbA1c increased with increasing duration. Regardless of diabetes duration, HbA1c level was observed lower in patients having a higher fiber or lower GI intake. Compared with those with the lowest tertile intake of fiber, the adjusted odds ratios (ORs) for poor glycemic control reduced from 0.75 (95%CI: 0.54-1.06) to 0.51 (95%CI: 0.34-0.75) with increasing tertile intake (P for trend <0.001). Dietary fiber may play an important role in reducing HbA1c level. Increasing fiber intake may be an effective approach to improve glycemic control among Chinese diabetic patients.

  9. Higher fasting plasma glucose is associated with striatal and hippocampal shape differences: the 2sweet project.

    PubMed

    Zhang, Tianqi; Shaw, Marnie; Humphries, Jacob; Sachdev, Perminder; Anstey, Kaarin J; Cherbuin, Nicolas

    2016-01-01

    Previous studies have demonstrated associations between higher normal fasting plasma glucose levels (NFG) (<6.1 mmol/L), type 2 diabetes (T2D) and hippocampal atrophy and other cerebral abnormalities. Little is known about the association between plasma glucose and the striatum despite sensorimotor deficits being implicated in T2D. This study aimed to investigate the relationship between plasma glucose levels and striatal and hippocampal morphology using vertex-based shape analysis. A population-based, cross-sectional study. Canberra and Queanbeyan, Australia. 287 cognitively healthy individuals (mean age 63 years, 132 female, 273 Caucasian) with (n=261) or without T2D (n=26), selected from 2551 participants taking part in the Personality & Total Health (PATH) Through Life study by availability of glucose data, MRI scan, and absence of gross brain abnormalities and cognitive impairment. Fasting plasma glucose was measured at first assessment, and MRI images were collected 8 years later. Shape differences indicating outward and inward deformation at the hippocampus and the striatum were examined with FMRIB Software Library-Integrated Registration and Segmentation Toolbox (FSL-FIRST) after controlling for sociodemographic and health variables. Higher plasma glucose was associated with shape differences indicating inward deformation, particularly at the caudate and putamen, among participants with NFG after controlling for age, sex, body mass index (BMI), hypertension, smoking and depressive symptoms. Those with T2D showed shape differences indicating inward deformation at the right hippocampus and bilateral striatum, but outward deformation at the left hippocampus, compared with participants with NFG. These findings further emphasize the importance of early monitoring and management of plasma glucose levels, even within the normal range, as a risk factor for cerebral atrophy.

  10. Elevations of C14:1 and C14:2 Plasma Acylcarnitines in Fasted Children: A Diagnostic Dilemma

    PubMed Central

    Burrage, Lindsay C.; Miller, Marcus J.; Wong, Lee-Jun; Kennedy, Adam D.; Sutton, V. Reid; Sun, Qin; Elsea, Sarah H.; Graham, Brett H.

    2015-01-01

    Objectives To test whether follow-up testing for VLCAD deficiency uncovers a diagnosis in patients with elevations of C14:1 and C14:2 plasma acylcarnitines after a controlled fasting study performed for clinically-suspected hypoglycemia and to compare the acylcarnitine profiles from fasted patients without VLCAD deficiency vs. patients with known VLCAD deficiency to determine if metabolite testing distinguishes these groups. Study design We performed a retrospective chart review and identified 17 patients with elevated C14:1 and C14:2 plasma acylcarnitine levels after a controlled fast and with testing for VLCAD deficiency (ACADVL sequencing or fibroblast fatty acid oxidation studies). The follow-up testing in all patients was inconsistent with a diagnosis of VLCAD deficiency. We compared the plasma acylcarnitine profiles from these fasted patients vs. patients with VLCAD deficiency. Results C14:1/C12:1 was significantly lower (p<0.001) in fasted patients vs. patients with VLCAD deficiency. Metabolomics analysis performed in two fasted patients and one patient with VLCAD deficiency demonstrated evidence for upregulated lipolysis and β-oxidation in the fasted state. Conclusions Elevations of plasma C14:1 and C14:2 acylcarnitines appear to be a physiologic result of lipolysis that occurs with fasting. Both metabolomics analysis and/or C14:1/C12:1 may distinguish C14:1 elevations from physiologic fasting-induced lipolysis vs. VLCAD deficiency. PMID:26602010

  11. Electron Generation and Transport in Intense Relativistic Laser-Plasma Interactions Relevant to Fast Ignition ICF

    SciTech Connect

    Ma, Tammy Yee Wing

    2010-01-01

    The reentrant cone approach to Fast Ignition, an advanced Inertial Confinement Fusion scheme, remains one of the most attractive because of the potential to efficiently collect and guide the laser light into the cone tip and direct energetic electrons into the high density core of the fuel. However, in the presence of a preformed plasma, the laser energy is largely absorbed before it can reach the cone tip. Full scale fast ignition laser systems are envisioned to have prepulses ranging between 100 mJ to 1 J. A few of the imperative issues facing fast ignition, then, are the conversion efficiency with which the laser light is converted to hot electrons, the subsequent transport characteristics of those electrons, and requirements for maximum allowable prepulse this may put on the laser system. This dissertation examines the laser-to-fast electron conversion efficiency scaling with prepulse for cone-guided fast ignition. Work in developing an extreme ultraviolet imager diagnostic for the temperature measurements of electron-heated targets, as well as the validation of the use of a thin wire for simultaneous determination of electron number density and electron temperature will be discussed.

  12. Fast and Slow Mode Solitary Waves in a Five-Component Plasma

    NASA Astrophysics Data System (ADS)

    Sebastian, Sijo; Michael, Manesh; Sreekala, G.; Varghese, Anu; Venugopal, Chandu

    2017-02-01

    We have investigated fast- and slow-mode solitary profiles in a five-component plasma consisting of positively and negatively charged pair ions, hydrogen ions, and hotter and colder electrons. Of these, the heavier ions and colder photoelectrons are of cometary origin while the other components are of solar origin; the electrons are described by kappa distributions. The Zakharov-Kuznetsov (ZK) equation is derived, and solutions for fast- and slow-mode solitary structures are plotted for parameters relevant to comet Halley. We found that the presence of hydrogen ions determines the polarity of the fast- and slow-mode solitary structures. Also, variations of equilibrium number density of hydrogen ions and charge numbers on the heavier pair ions act differently on the fast- and slow-mode solitary structures. The addition of hydrogen ions significantly affects the amplitude of the solitary structures for the fast mode. Further, the cyclotron frequency of the lighter and heavier ions has a noticeable effect on the width of the solitary waves.

  13. Observation and suppression of a new fast ion driven micro burst instability in a field-reversed configuration plasma

    NASA Astrophysics Data System (ADS)

    Deng, B. H.; Korepanov, S.; Belova, E.; Douglass, J.; Beall, M.; Binderbauer, M.; Clary, R.; Detrick, S.; Garate, E.; Gota, H.; Granstedt, E.; Magee, R.; Necas, A.; Putvinski, S.; Roche, T.; Smirnov, A.; Tajima, T.; Thompson, M.; Tuszewski, M.; van Drie, A.; TAE Team

    2016-10-01

    The C-2U experiment offers a unique plasma environment combining a high beta field reversed configuration (FRC) embedded in a low beta magnetic mirror with high power neutral beam injection. The beams are injected tangentially into a modest magnetic field so that the orbits of the resulting fast ions encircle the entire plasma. The dominant population of large orbit fast ions sustains and stabilizes the FRC, suppresses turbulence, and makes a dramatic beneficial impact on the overall plasma performance. Abundant interesting new physics phenomena are observed in this high performance FRC operation regime, including micro bursts, which are benign, periodic bursting small amplitude down chirping fluctuations seen by several diagnostics. Detailed analysis of the micro bursts measurement data, bulk plasma equilibrium profiles, and fast ion orbit characteristics show that the micro bursts might be driven by a small number of resonant fast ions, and can be suppressed when the number of resonant particles is reduced.

  14. Effects of fasting on plasma glucose and prolonged tracer measurement of hepatic glucose output in NIDDM

    SciTech Connect

    Glauber, H.; Wallace, P.; Brechtel, G.

    1987-10-01

    We studied the measurement of hepatic glucose output (HGO) with prolonged (3-/sup 3/H)glucose infusion in 14 patients with non-insulin-dependent diabetes mellitus (NIDDM). Over the course of 10.5 h, plasma glucose concentration fell with fasting by one-third, from 234 +/- 21 to 152 +/- 12 mg/dl, and HGO fell from 2.35 +/- 0.18 to 1.36 +/- 0.07 mg . kg-1 . min-1 (P less than .001). In the basal state, HGO and glucose were significantly correlated (r = 0.68, P = .03), and in individual patients, HGO and glucose were closely correlated as both fell with fasting (mean r = 0.79, P less than .01). Plasma (3-/sup 3/H)glucose radioactivity approached a steady state only 5-6 h after initiation of the primed continuous infusion, and a 20% overestimate of HGO was demonstrated by not allowing sufficient time for tracer labeling of the glucose pool. Assumption of steady-state instead of non-steady-state kinetics in using Steele's equations to calculate glucose turnover resulted in a 9-24% overestimate of HGO. Stimulation of glycogenolysis by glucagon injection demonstrated no incorporation of (3-/sup 3/H)glucose in hepatic glycogen during the prolonged tracer infusion. In a separate study, plasma glucose was maintained at fasting levels (207 +/- 17 mg/dl) for 8 h with the glucose-clamp technique. Total glucose turnover rates remained constant during this prolonged tracer infusion. However, HGO fell to 30% of the basal value simply by maintaining fasting hyperglycemia in the presence of basal insulin levels.

  15. Fasting plasma total ghrelin concentrations in monozygotic twins discordant for obesity.

    PubMed

    Leskelä, Piia; Ukkola, Olavi; Vartiainen, Johanna; Rönnemaa, Tapani; Kaprio, Jaakko; Bouchard, Claude; Kesäniemi, Y Antero

    2009-02-01

    Ghrelin is a hormone that is involved in the regulation of food intake. Neuronal, endocrine, and genetic factors have been shown to regulate plasma ghrelin levels; but the determinants of fasting ghrelin concentrations are not yet fully understood. The main aim was to explore the roles of adiposity and genetic differences in determining fasting plasma total ghrelin levels. We measured total ghrelin levels in a population of 23 monozygotic twin pairs discordant for obesity. In addition, 2 variants of ghrelin gene, namely, Arg51Gln and Leu72Met, were genotyped in 3 populations of monozygotic twin pairs: 23 obesity-discordant, 43 lean-concordant, and 46 obesity-concordant twin pairs. In discordant twins, lean co-twins had higher fasting plasma total ghrelin levels (950 pg/mL, SD = 328 pg/mL) than obese twins (720 pg/mL, SD = 143 pg/mL; P = .003). Arg51Gln-polymorphism of the ghrelin gene was equally distributed between the twin groups. However, there were significant differences in genotype frequencies at the Leu72Met polymorphism between the discordant and obese-concordant groups (P = .003) and between the discordant and lean-concordant groups (P = .011), but not between the 2 concordant groups. In the discordant group, there were fewer Met carriers (4%) than among the obese (17%) or the lean-concordant groups (15%). Plasma total ghrelin levels are affected by acquired obesity independent of genetic background. The Leu72 allele is particularly common among monozygotic twins discordant for obesity, suggesting that this ghrelin allele is more permissive in the regulation of energy balance. The ghrelin gene may thus play a role in the regulation of variability of body weight, such that Leu72 allele carriers are more prone to weight variability in response to environmental factors.

  16. Effects of Sleep Disorders on Hemoglobin A1c Levels in Type 2 Diabetic Patients

    PubMed Central

    Keskin, Ahmet; Ünalacak, Murat; Bilge, Uğur; Yildiz, Pinar; Güler, Seda; Selçuk, Engin Burak; Bilgin, Muzaffer

    2015-01-01

    Background: Studies have reported the presence of sleep disorders in approximately 50–70% of diabetic patients, and these may contribute to poor glycemic control, diabetic neuropathy, and overnight hypoglycemia. The aim of this study was to determine the frequency of sleep disorders in diabetic patients, and to investigate possible relationships between scores of these sleep disorders and obstructive sleep apnea syndrome (OSAS) and diabetic parameters (fasting blood glucose, glycated hemoglobin A1c [HbA1c], and lipid levels). Methods: We used the Berlin questionnaire (BQ) for OSAS, the Epworth Sleepiness Scale (ESS), and the Pittsburgh Sleep Quality Index (PSQI) to determine the frequency of sleep disorders and their possible relationships with fasting blood glucose, HbA1c, and lipid levels. Results: The study included 585 type 2 diabetic patients admitted to family medicine clinics between October and December 2014. Sleep, sleep quality, and sleep scores were used as the dependent variables in the analysis. The ESS scores showed that 54.40% of patients experienced excessive daytime sleepiness, and according to the PSQI, 64.30% experienced poor-quality sleep. The BQ results indicated that 50.20% of patients were at high-risk of OSAS. HbA1c levels correlated significantly with the ESS and PSQI results (r = 0.23, P < 0.001 and r = 0.14, P = 0.001, respectively), and were significantly higher in those with high-risk of OSAS as defined by the BQ (P < 0.001). These results showed that HbA1c levels were related to sleep disorders. Conclusions: Sleep disorders are common in diabetic patients and negatively affect the control of diabetes. Conversely, poor diabetes control is an important factor disturbing sleep quality. Addressing sleep disturbances in patients who have difficulty controlling their blood glucose has dual benefits: Preventing diabetic complications caused by sleep disturbance and improving diabetes control. PMID:26668142

  17. Fast Sausage Modes in Magnetic Tubes with Continuous Transverse Profiles: Effects of a Finite Plasma Beta

    NASA Astrophysics Data System (ADS)

    Chen, Shao-Xia; Li, Bo; Xiong, Ming; Yu, Hui; Guo, Ming-Zhe

    2016-12-01

    While standing fast sausage modes in flare loops are often invoked to interpret quasi-periodic pulsations (QPPs) in solar flares, it is unclear as to how they are influenced by the combined effects of a continuous transverse structuring and a finite internal plasma beta ({β }{{i}}). We derive a generic dispersion relation governing linear sausage waves in straight magnetic tubes for which plasma pressure is not negligible, and the density and temperature inhomogeneities of essentially arbitrary form take place in a layer of arbitrary width. Focusing on fast modes, we find that {β }{{i}} only weakly influences {k}{{c}}, the critical longitudinal wavenumber separating the leaky from trapped modes. Likewise, for both trapped and leaky modes, the periods P in units of the transverse fast time depend only weakly on {β }{{i}}, which is compatible with the fact that the effective wave vectors of fast sausage modes are largely perpendicular to the background magnetic field. However, a weak {β }{{i}} dependence of the damping times τ is seen only when the length-to-radius ratio L/R is ∼50% larger than some critical value π /({k}{{c}}R), which itself rather sensitively depends on the density contrast, profile steepness, as well as on how the transverse structuring is described. In the context of QPPs, we conclude that the much simpler zero-beta theory can be employed for trapped modes, as long as one sees the deduced internal Alfvén speed as actually being the fast speed. In contrast, effects due to a finite beta in flare loops should be considered when leaky modes are exploited.

  18. EFFECTS OF LASER RADIATION ON MATTER. LASER PLASMA: Conversion of the energy of fast electrons to thermal plasma radiation

    NASA Astrophysics Data System (ADS)

    Vergunova, G. A.; Rozanov, Vladislav B.

    1992-01-01

    An analysis is made of the conversion of the energy of highly energetic fast electrons, generated by the action of CO2 laser radiation on a target, into characteristic radiation emitted by a plasma formed from shell targets which, for instance, may be present inside targets irradiated by the CO2 laser. Analytical formulas are obtained for the temperature of the converted radiation. The results show that it is possible to control this radiation by choosing the parameters of the target and of the fast electron flux. The efficiency of conversion into characteristic thermal radiation is found numerically to be 95%. This method of conversion is more favorable than direct interaction of CO2 laser radiation with a target since the emitting region is localized in the target mass. When a laser interacts with a target the mass of this region increases with time and so the temperature of the emitted radiation is lower than in the case when fast electrons act on the target.

  19. Factors Affecting Hemoglobin A1C in the Diagnosis of Diabetes and Prediabetes in Youth.

    PubMed

    Hitt, Jennifer McGuire; Velasquez-Mieyer, Pedro; Neira, Claudia; Cowan, Patricia

    2016-01-01

    We sought to examine the correlation between variables and A1C levels to determine if prediction modeling could be used in the screening and diagnosis of diabetes and prediabetes in youth. We also sought to test relationships between A1C levels to insulin sensitivity indices and β-cell function indices. We performed a retrospective review of 904 medical records from youth deemed at-risk for the disease. We performed Pearson correlation, multiple regression, and simple regression testing to determine the relationship between variables and A1C levels. In addition, we performed Pearson correlation testing on insulin sensitivity indices and β-cell function indices to determine the strength of correlation to A1C levels. Statistical analysis did not show a strong relationship between the variables tested and the A1C. When racial and ethnic groups were tested together, the results from African American participants resulted in bias estimates, and as a result, a statistical model for the entire sample could not be performed. Results indicate that A1C is correlated with all β-cell function proxy measurements and correlated to the corrected insulin level at 30minutes, but not the fasting insulin or insulinogenic index. The results from this study underline the multi-dimensional causes of diabetes and prediabetes and further stress the difficulties in predicting the diseases. The causes of diabetes and prediabetes are multifaceted, often individualized, and often difficult to ascertain. Clinicians should continue to examine a variety of variables prior to determining the need for diabetes diagnostic testing. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Spectroscopic investigation of fast (ns) magnetic field penetration in a plasma

    NASA Astrophysics Data System (ADS)

    Sarfaty, M.; Shpitalnik, R.; Arad, R.; Weingarten, A.; Krasik, Ya. E.; Fruchtman, A.; Maron, Y.

    1995-06-01

    The time-dependent magnetic field spatial distribution in a coaxial positive-polarity plasma opening switch (POS) carrying a current ≂135 kA during ≂100 ns, was investigated by two methods. In the first, ionic line emission was observed simultaneously for two polarizations to yield the Doppler and Zeeman contributions to the line profiles. In the second method, the axial velocity distribution of ions was determined, giving the magnetic field through the ion equation of motion. This method requires knowledge of the electron density, here obtained from the observed particle ionization times. To this end, a lower bound for the electron kinetic energy was determined using various line intensities and time-dependent collisional-radiative calculations. An important necessity for POS studies is the locality of all measurements in r, z, and θ. This was achieved by using laser evaporation to seed the plasma nonperturbingly with the species desired for the various measurements. The Zeeman splitting and the ion motion showed magnetic field penetration through the 3.5 cm long plasma at a velocity ≂108 cm/s. The current density was found to be relatively high at the load-side edge of the switch plasma. It is suggested that this may cause plasma acceleration into the vacuum section toward the load, which is supported by charge-collector measurements. The fast magnetic field penetration agrees with estimates based on the Hall-field mechanism.

  1. Magnetic field measurements for study of fast electron transport in magnetized HED plasma

    NASA Astrophysics Data System (ADS)

    Sawada, Hiroshi; Griffin, Brandon; Presura, Radu; Haque, Showera; Sentoku, Yasuhiko

    2014-10-01

    Interaction of megagauss magnetic fields with high energy density (HED) plasma is of great interest in the field of magnetized plasma. The field changes fundamental properties of the HED plasma such as thermal and magnetic diffusion. A coupled capability utilizing the 1.0 MA Zebra pulsed power generator and the 50 TW Leopard laser at Nevada Terawatt Facility enables to create such a condition for studies of magnetized plasma properties. We have conducted an experiment to measure magnetic fields generated by a 1.0 MA, 100 ns Zebra pulsed current in stainless steel coils. Using a 532 nm continuous laser from a single longitudinal mode laser system, the temporal change in the magnetic field was measured with the Faraday rotation in F2 glass. The probe laser passing through the 1.5 mm in radius and 1.75 mm thick glass placed in the vicinity of the inductive coils was split with a Glan-Taylor prism to measure vertical and horizontal polarization components with photodiodes. We will present the analysis of the experimental result and a design of a coupled experiment for study of fast electron transport in the magnetized plasma.

  2. Nonlinear interaction of fast particles with Alfven waves in toroidal plasmas

    SciTech Connect

    Candy, J.; Borba, D.; Huysmans, G.T.A.; Kerner, W.; Berk, H.L.

    1996-12-17

    A numerical algorithm to study the nonlinear, resonant interaction of fast particles with Alfven waves in tokamak geometry has been developed. The scope of the formalism is wide enough to describe the nonlinear evolution of fishbone modes, toroidicity-induced Alfven eigenmodes and ellipticity-induced Alfven eigenmodes, driven by both passing and trapped fast ions. When the instability is sufficiently weak, it is known that the wave-particle trapping nonlinearity will lead to mode saturation before wave-wave nonlinearities are appreciable. The spectrum of linear modes can thus be calculated using a magnetohydrodynamic normal-mode code, then nonlinearly evolved in time in an efficient way according to a two-time-scale Lagrangian dynamical wave model. The fast particle kinetic equation, including the effect of orbit nonlinearity arising from the mode perturbation, is simultaneously solved of the deviation, {delta}f = f {minus} f{sub 0}, from an initial analytic distribution f{sub 0}. High statistical resolution allows linear growth rates, frequency shifts, resonance broadening effects, and nonlinear saturation to be calculated quickly and precisely. The results have been applied to an ITER instability scenario. Results show that weakly-damped core-localized modes alone cause negligible alpha transport in ITER-like plasmas--even with growth rates one order of magnitude higher than expected values. However, the possibility of significant transport in reactor-type plasmas due to weakly unstable global modes remains an open question.

  3. Neutron Production and Fast Deuteron Characteristics at the Plasma Focus Discharge

    SciTech Connect

    Kubes, P.; Kravarik, J.; Klir, D.; Rezac, K.; Scholz, M.; Paduch, M.; Ivanova-Stanik, I.; Karpinski, L.; Tomaszewski, K.

    2009-01-21

    This paper summarized the results of interferometry, X-ray and neutron diagnostics performed at the plasma focus facility filled with deuterium. The fusion processes are produced mainly in the dense and hot spherical structure of 2 cm diameter 5-8 cm in front of the anode. The electron temperature of this structure is about 750 eV and the density 5x10{sup 24}-5x10{sup 25}. The neutron energy distribution was calculated using time of flight analysis and showed the dominant direction of the fast deuteron velocity downstream. The deuteron energy distribution was estimated supposing isotropy distribution of the sum of opposite orientation. The total number of fast deuterons in the energy range of 10-400 keV is about 10{sup 18} with total energy of 20 kJ. Plasma in the spherical structure is heated dominantly with ion-ion Coulomb collisions of fast deuterons in the energy range below 10 keV.

  4. High Voltage, Fast-Switching Module for Active Control of Magnetic Fields and Edge Plasma Currents

    NASA Astrophysics Data System (ADS)

    Ziemba, Timothy; Miller, Kenneth; Prager, James; Slobodov, Ilia

    2016-10-01

    Fast, reliable, real-time control of plasma is critical to the success of magnetic fusion science. High voltage and current supplies are needed to mitigate instabilities in all experiments as well as disruption events in large scale tokamaks for steady-state operation. Silicon carbide (SiC) MOSFETs offer many advantages over IGBTs including lower drive energy requirements, lower conduction and switching losses, and higher switching frequency capabilities; however, these devices are limited to 1.2-1.7 kV devices. As fusion enters the long-pulse and burning plasma eras, efficiency of power switching will be important. Eagle Harbor Technologies (EHT), Inc. developing a high voltage SiC MOSFET module that operates at 10 kV. This switch module utilizes EHT gate drive technology, which has demonstrated the ability to increase SiC MOSFET switching efficiency. The module will allow more rapid development of high voltage switching power supplies at lower cost necessary for the next generation of fast plasma feedback and control. EHT is partnering with the High Beta Tokamak group at Columbia to develop detailed high voltage module specifications, to ensure that the final product meets the needs of the fusion science community.

  5. Spectral Emission of fast non-Maxwellian Atoms at metallic Surfaces in low density Plasmas

    NASA Astrophysics Data System (ADS)

    Dickheuer, Sven; Marchuk, Oleksandr; Brandt, Christian; Pospieszczyk, Albrecht

    2016-09-01

    We have observed Doppler shifted components of the Balmer-lines emitted by fast non-Maxwellian atoms using different targets in a linear magnetized plasma in the PSI-2 device. In a pure hydrogen plasma the Doppler shifted components of the Balmer emission lines cannot be detected above the signal-to-noise-ratio. However, in a mixed H/Ar plasma with composition of 1:1 the Doppler red- and blue-shifted components can be clearly observed. The Balmer-lines are analyzed by optical emission spectroscopy at observations angles of 35° and 90°. For target materials we use Ag, Pd, Fe and C. An acceleration potential can be applied to the target to change the kinetic energy of the incoming ions between 40 and 200 eV enabling the observation of the Doppler shifted components. The emission mechanism is discussed in details and is probably due to excitation transfer from metastable argon atoms to the fast hydrogen atoms. The Doppler shifted signal can be used to determine the properties of the surfaces, e.g., the energy and angular distribution of reflected atoms. Also the spectral reflectance of the target surface can be obtained and tested against the reference data and measurements with light calibration sources.

  6. Ion pinhole imaging diagnostics on fast ion source in femtosecond laser plasma of cluster targets.

    PubMed

    Makarov, Sergey; Pikuz, Sergey; Faenov, Anatoly; Pikuz, Tatiana; Fukuda, Yuji; Skobelev, Igor; Zhvaniya, Irina; Varzar, Sergey; Kando, Masaki; Kodama, Ryousuke

    2017-07-10

    The spatial configuration of the ion source generated under femtosecond laser interaction with clusters is investigated. While intense laser pulses (36 fs, 60 mJ, intensity of 4 × 10(17) W/cm(2)) propagated in CO2 cluster (~0.22 μm in diameter) media, the shape of the obtained plasma ion source was registered for the first time by means of pinhole imaging method. The remarkable decrease in fast ion yield in the vicinity of the assumed best laser focus near the gas cluster jet axis is observed. Such observed anisotropy of the ion source is suggested to originate from the influence of the laser prepulse destroying clusters in advance to the arrival of the main pulse. The assumption is confirmed by optical shadowgraphy images of the plasma channel and is important for further development of an efficient laser-plasma-based fast ion source. Following the observed geometry of the ion source, the laser intensity limit allowing to accelerate ions to ~100 keV energy range was estimated.

  7. Dietary Sulfur Amino Acid Effects on Fasting Plasma Cysteine/Cystine Redox Potential in Humans

    PubMed Central

    Jones, Dean P.; Park, Youngja; Gletsu-Miller, Nana; Liang, Yongliang; Yu, Tianwei; Accardi, Carolyn Jonas; Ziegler, Thomas R.

    2010-01-01

    Objective Oxidation of plasma cysteine/cystine (Cys/CySS) redox potential (EhCySS) has been associated with risk factors for cardiovascular disease in humans. Cys and CySS are derived from dietary sulfur amino acids (SAA), but the specific effects of SAA depletion and repletion on Cys/CySS redox indices are unknown. The present study examined the effect of dietary SAA intake level on free Cys, free CySS and EhCySS in human plasma under fasting conditions. Research Methods and Procedures Healthy individuals aged 18–36 y (n=13) were equilibrated to foods providing the RDA for SAA and then fed chemically defined diets without SAA (0 mg·kg−1·d−1; n=13) followed by SAA at levels approximating the mean (56 mg·kg−1·d−1; n=8) or 99th percentile (117 mg·kg−1·d−1; n=5) intake levels of Americans. Fasting plasma samples were collected daily during 4-d study periods and analyzed for free Cys, free CySS and the EhCySS. Results The SAA-free diet significantly (p<0.05) decreased plasma free Cys concentrations and oxidized EhCySS values after 4 days of SAA depletion. With SAA repletion at 56 mg·kg−1·d− 1, plasma free Cys increased significantly and values for EhCySS became more reducing. Administration of a diet providing a higher dose of SAA (117 mg·kg−1·d−1) resulted in a significantly higher level of free Cys and a more reducing EhCySS. Conclusions These results show that free Cys and Cys/CySS redox potential (EhCySS) in fasting plasma are affected by dietary SAA intake level in humans. Significant changes occur slowly over 4 days with insufficient SAA intake, but rapidly (after 1 day) with repletion. PMID:20471805

  8. Increased fasting plasma acylation-stimulating protein concentrations in nephrotic syndrome.

    PubMed

    Ozata, Metin; Oktenli, Cagatay; Gulec, Mustafa; Ozgurtas, Taner; Bulucu, Fatih; Caglar, Kayser; Bingol, Necati; Vural, Abdulgaffar; Ozdemir, I Caglayan

    2002-02-01

    Acylation-stimulating protein (ASP) is an adipocyte-derived protein that has recently been suggested to play an important role in the regulation of lipoprotein metabolism and triglyceride (TG) storage. ASP also appears to have a role in the regulation of energy balance. In addition to its role as a hormonal regulator of body weight and energy expenditure, leptin is now implicated as a regulatory molecule in lipid metabolism. However, little is known about the alterations in fasting plasma ASP and leptin concentrations in the nephrotic syndrome. As hyperlipidemia is one of the most striking manifestations of the nephrotic syndrome, we have investigated fasting plasma ASP and leptin levels and their relation to lipid levels in this syndrome. Twenty-five patients with untreated nephrotic syndrome and 25 age-, sex-, and body mass index-matched healthy controls were included in the study. Fasting plasma lipoproteins, TG, total cholesterol, lipoprotein(a), apolipoprotein AI (apoAI), apoB, urinary protein, plasma albumin, third component of complement (C3), ASP, and leptin levels were measured in both groups. Total cholesterol, TG, low and very low density lipoproteins, lipoprotein(a), apoB, and urinary protein levels were increased in the patient group, whereas plasma albumin, high density lipoprotein cholesterol, and apoAI levels were decreased compared with those in the control group (P < 0.001). Plasma ASP levels were significantly higher in the patient group compared with the control subjects (133.72 +/- 65.14 vs. 29.93 +/- 12.68 nmol/liter; P < 0.001), whereas leptin (2.69 +/- 2.06 vs. 3.99 +/- 2.99 ng/ml; P = 0.118) and C3 (1.01 +/- 0.25 vs. 1.06 +/- 0.23 g/liter; P = 0.662) levels were not significantly different between the two groups. Plasma leptin levels were correlated with body mass index in both nephrotic patients (r(s) = 0.86; P < 0.001) and controls (r(s) = 0.98; P < 0.001), but were not correlated with the other parameters. Fasting ASP concentrations

  9. CHARACTERISTICS OF A FAST RISE TIME POWER SUPPLY FOR A PULSED PLASMA REACTOR FOR CHEMICAL VAPOR DESTRUCTION

    EPA Science Inventory

    Rotating spark gap devices for switching high-voltage direct current (dc) into a corona plasma reactor can achieve pulse rise times in the range of tens of nanoseconds. The fast rise times lead to vigorous plasma generation without sparking at instantaneous applied voltages highe...

  10. CHARACTERISTICS OF A FAST RISE TIME POWER SUPPLY FOR A PULSED PLASMA REACTOR FOR CHEMICAL VAPOR DESTRUCTION

    EPA Science Inventory

    Rotating spark gap devices for switching high-voltage direct current (dc) into a corona plasma reactor can achieve pulse rise times in the range of tens of nanoseconds. The fast rise times lead to vigorous plasma generation without sparking at instantaneous applied voltages highe...

  11. Effects of prolonged fasting on plasma cortisol and TH in postweaned northern elephant seal pups

    NASA Technical Reports Server (NTRS)

    Ortiz, R. M.; Wade, C. E.; Ortiz, C. L.

    2001-01-01

    Northern elephant seal (Mirounga angustirostris) pups rely on the oxidation of fat stores as their primary source of energy during their 8- to 12-wk postweaning fast; however, potential endocrine mechanisms involved with this increased fat metabolism have yet to be examined. Therefore, 15 pups were serially blood sampled in the field during the first 7 wk of their postweaning fast to examine the changes in plasma concentrations of cortisol and thyroid hormones (TH), which are involved in fat metabolism in other mammals. Cortisol increased, indicating that it contributed to an increase in lipolysis. Increased total triiodothyronine (tT(3)) and thyroxine (tT(4)) may not reflect increased thyroid gland activity, but rather alterations in hormone metabolism. tT(3)-to-tT(4) ratio decreased, suggesting a decrease in thyroxine (T(4)) deiodination, whereas the negative correlation between total proteins and free T(4) suggests that the increase in free hormone is attributed to a decrease in binding globulins. Changes in TH are most similar to those observed during hibernation than starvation in mammals, suggesting that the metabolic adaptations to natural fasting are more similar to hibernation despite the fact these animals remain active throughout the fasting period.

  12. Effects of prolonged fasting on plasma cortisol and TH in postweaned northern elephant seal pups

    NASA Technical Reports Server (NTRS)

    Ortiz, R. M.; Wade, C. E.; Ortiz, C. L.

    2001-01-01

    Northern elephant seal (Mirounga angustirostris) pups rely on the oxidation of fat stores as their primary source of energy during their 8- to 12-wk postweaning fast; however, potential endocrine mechanisms involved with this increased fat metabolism have yet to be examined. Therefore, 15 pups were serially blood sampled in the field during the first 7 wk of their postweaning fast to examine the changes in plasma concentrations of cortisol and thyroid hormones (TH), which are involved in fat metabolism in other mammals. Cortisol increased, indicating that it contributed to an increase in lipolysis. Increased total triiodothyronine (tT(3)) and thyroxine (tT(4)) may not reflect increased thyroid gland activity, but rather alterations in hormone metabolism. tT(3)-to-tT(4) ratio decreased, suggesting a decrease in thyroxine (T(4)) deiodination, whereas the negative correlation between total proteins and free T(4) suggests that the increase in free hormone is attributed to a decrease in binding globulins. Changes in TH are most similar to those observed during hibernation than starvation in mammals, suggesting that the metabolic adaptations to natural fasting are more similar to hibernation despite the fact these animals remain active throughout the fasting period.

  13. Fast steel-cleanness characterization by means of laser-assisted plasma spectrometric methods.

    PubMed

    Müller, Gregor; Stahnke, Frank; Bleiner, Davide

    2006-12-15

    Laser-assisted plasma spectrometry is a palette of analytical techniques (L-OES, LA-ICP-MS) capable of fast spatially-resolved elemental analysis in the micrometer range. For fast estimation of the occurrence in steel samples of non-metallic inclusions, which degrade the material's technical properties, simultaneous OES detection and sequential ICP-MS detection were compared. Histograms were obtained for the intensity distribution of the acquired signals (laser pulse statistics). The skewness coefficient of the histograms for Al (indicator of non-metallic inclusions) was found to be clearly dependent on the fraction of non-metallic inclusions in the case of scanning L-OES. For LA-ICP-MS less clear dependence was observed, which was influenced by the acquisition characteristics. In fact, less measurement throughput limited for LA-ICP-MS the counting statistics to an extent that overrides the benefit of higher detection power as compared to L-OES.

  14. The sound generated by a fast parton in the quark-gluon plasma is a crescendo

    NASA Astrophysics Data System (ADS)

    Neufeld, R. B.; Müller, B.

    2009-11-01

    The total energy deposited into the medium per unit length by a fast parton traversing a quarkgluon plasma is calculated. We take the medium excitation due to collisions to be given by the well known expression for the collisional drag force. The parton's radiative energy loss contributes to the energy deposition because each radiated gluon acts as an additional source of collisional energy loss in the medium. In our model, this leads to a length dependence on the differential energy loss due to the interactions of radiated gluons with the medium. The final result, which is a sum of the primary and the secondary contributions, is then treated as the coefficient of a local hydrodynamic source term. Results are presented for energy density wave induced by two fast, back-to-back partons created in an initial hard interaction.

  15. Fast, Deep-Record-Length, Fiber-Coupled Photodiode Imaging Array for Plasma Diagnostics

    NASA Astrophysics Data System (ADS)

    Brockington, Samuel; Case, Andrew; Witherspoon, F. Douglas

    2014-10-01

    HyperV Technologies has been developing an imaging diagnostic comprised of an array of fast, low-cost, long-record-length, fiber-optically-coupled photodiode channels to investigate plasma dynamics and other fast, bright events. By coupling an imaging fiber bundle to a bank of amplified photodiode channels, imagers and streak imagers of 100 to 1000 pixels can be constructed. By interfacing analog photodiode systems directly to commercial analog-to-digital converters and modern memory chips, a prototype 100 pixel array with an extremely deep record length (128 k points at 20 Msamples/s) and 10 bit pixel resolution has already been achieved. HyperV now seeks to extend these techniques to construct a prototype 1000 Pixel framing camera with up to 100 Msamples/sec rate and 10 to 12 bit depth. Preliminary experimental results as well as Phase 2 plans will be discussed. Work supported by USDOE Phase 2 SBIR Grant DE-SC0009492.

  16. Fast, Deep-Record-Length, Fiber-Coupled Photodiode Imaging Array for Plasma Diagnostics

    NASA Astrophysics Data System (ADS)

    Brockington, Samuel; Case, Andrew; Witherspoon, F. Douglas

    2015-11-01

    HyperV Technologies has been developing an imaging diagnostic comprised of an array of fast, low-cost, long-record-length, fiber-optically-coupled photodiode channels to investigate plasma dynamics and other fast, bright events. By coupling an imaging fiber bundle to a bank of amplified photodiode channels, imagers and streak imagers can be constructed. By interfacing analog photodiode systems directly to commercial analog-to-digital converters and modern memory chips, a scalable solution for 100 to 1000 pixel systems with 14 bit resolution and record-lengths of 128k frames has been developed. HyperV is applying these techniques to construct a prototype 1000 Pixel framing camera with up to 100 Msamples/sec rate and 10 to 14 bit depth. Preliminary experimental results as well as future plans will be discussed. Work supported by USDOE Phase 2 SBIR Grant DE-SC0009492.

  17. Lipid and liver abnormalities in haemoglobin A1c-defined prediabetes and type 2 diabetes.

    PubMed

    Calanna, S; Scicali, R; Di Pino, A; Knop, F K; Piro, S; Rabuazzo, A M; Purrello, F

    2014-06-01

    We aimed to investigate lipid abnormalities and liver steatosis in patients with HbA1c-defined prediabetes and type 2 diabetes compared to individuals with HbA1c-defined normoglycaemia. Ninety-one subjects with prediabetes according to HbA1c, i.e. from 5.7 to 6.4% (39-46 mmol/mol), 50 newly diagnosed patients with HbA1c-defined type 2 diabetes (HbA1c ≥6.5% [≥48 mmol/mol]), and 67 controls with HbA1c lower than 5.7% (<39 mmol/mol), were studied. Fasting blood samples for lipid profiles, fatty liver index (FLI), bioimpedance analysis, ultrasound scan of the liver, and BARD (body mass index, aspartate aminotransferase/alanine aminotransferase ratio, diabetes) score for evaluation of liver fibrosis, were performed in all subjects. In comparison to controls, subjects with prediabetes were characterised by: lower apolipoprotein AI and HDL cholesterol levels, higher blood pressure, triglycerides levels and apolipoprotein B/apolipoprotein AI ratio, higher FLI, increased prevalence of and more severe hepatic steatosis, similar BARD score, and higher total body fat mass. In comparison to subjects with diabetes, subjects with prediabetes exhibited: similar blood pressure and apolipoprotein B/apolipoprotein AI ratio, similar FLI, reduced prevalence of and less severe hepatic steatosis, lower BARD score, increased percent fat and lower total body muscle mass. In comparison to controls, subjects with diabetes showed: lower apolipoprotein AI and HDL cholesterol levels, higher blood pressure and triglycerides levels, higher FLI, increased prevalence of and more severe hepatic steatosis, higher BARD score, and higher total body muscle mass. Moreover, HbA1c was correlated with BMI, HOMA-IR, triglycerides, HDL cholesterol, AST, and ALT. Subjects with HbA1c-defined prediabetes and type 2 diabetes, respectively, are characterised by abnormalities in lipid profile and liver steatosis, thus exhibiting a severe risk profile for cardiovascular and liver diseases. Copyright © 2014

  18. Associations among objectively measured physical activity, fasting plasma homocysteine concentration, and MTHFR C677T genotype.

    PubMed

    Murakami, Haruka; Iemitsu, Motoyuki; Sanada, Kiyoshi; Gando, Yuko; Ohmori, Yumi; Kawakami, Ryoko; Sasaki, Satoshi; Tabata, Izumi; Miyachi, Motohiko

    2011-12-01

    Elevated fasting plasma homocysteine (Hcy) level is a vascular disease risk factor. Plasma Hcy is affected by 5,10-methylenetetrahydofolate reductase (MTHFR) genotype and dietary folate intake. This cross-sectional study in 434 Japanese adults examined the associations among objectively measured physical activity (PA), plasma Hcy adjusting for dietary folate intake, and MTHFR C677T genotype. Daily PA was measured by triaxial accelerometry and all subjects completed a questionnaire about their dietary habits. Plasma Hcy and MTHFR C677T genotype were determined. Plasma Hcy in subjects with the TT genotype was significantly higher than in those with CC or CT genotype (p < 0.001). Plasma Hcy was significantly different between ≥ 200 (7.6 ± 0.2 nmol/mL) and <200 µg/day (8.3 ± 0.3 nmol/mL) folate intake groups (p = 0.003). There were no differences in plasma Hcy adjusting for age, sex, and folate intake between groups according to PA category in all subjects. However, there were significant interactions between time spent in light PA (p = 0.003), vigorous PA (p = 0.001), or inactivity (p = 0.004), and MTHFR genotype. In only the TT genotype, shorter time spent in light PA was associated with higher plasma Hcy than a longer time spent in light PA (11.5 ± 3.3 nmol/mL vs. 8.5 ± 3.3 nmol/mL, p < 0.001), and longer time spent in vigorous PA and inactivity were associated with higher plasma Hcy (11.8 ± 3.3 nmol/mL vs. 8.4 ± 3.2 nmol/mL, 11.6 ± 3.3 nmol/mL vs. 8.4 ± 3.3 nmol/mL, respectively, p < 0.001). In conclusion, light and vigorous PA were associated with plasma Hcy only in the TT genotype, but there were no such associations in all genotypes.

  19. A fast model for spreading of neutral particles injected locally into hot plasma

    SciTech Connect

    Tokar, M. Z.

    2014-08-15

    A fast model for calculation of non-stationary 3-D profiles of the density for neutral particles locally released into a hot plasma is elaborated. The approach reduces non-stationary three-dimensional transport equations to a set of one-dimensional ones describing the time evolution of the radial profiles for several parameters characterizing adequately the three-dimensional structure. The method is applied to model the spreading process of carbon atoms released by laser desorption in an experimental device and the local injection of working gas into a fusion reactor. The associated heat loads onto the first wall are assessed.

  20. Dynamics of dust-free cavities behind fast projectiles in a dusty plasma under microgravity conditions

    SciTech Connect

    Caliebe, D.; Arp, O.; Piel, A.

    2011-07-15

    The penetration of a dusty plasma by fast charged projectiles is studied under microgravity conditions. The mass and charge of the projectiles are larger than those of the target particles. A projectile generates a dust-free cavity in its wake, whose shape strongly depends on the projectile velocity. The faster the projectile the more elongated becomes the cavity while its cross-section decreases. The opening time of the cavity is found independent of the projectile velocity. For supersonic projectiles, the dynamics of the cavity can be decomposed into an initial impulse and a subsequent elastic response that can be modeled by a damped harmonic oscillator.

  1. Photoconductive detectors with fast temporal response for laser produced plasma experiments.

    PubMed

    May, M J; Halvorson, C; Perry, T; Weber, F; Young, P; Silbernagel, C

    2008-10-01

    Processes during laser plasma experiments typically have time scales that are less than 100 ps. The measurement of these processes requires x-ray detectors with fast temporal resolution. We have measured the temporal responses and linearity of several different x-ray sensitive photoconductive detectors (PCDs). The active elements of the detectors investigated include both diamond (natural and synthetic) and GaAs crystals. The typical time responses of the GaAs PCDs are approximately 60 ps, respectively. Some characterizations using x-ray radiation from a synchrotron radiation source are presented.

  2. Photoconductive Detectors with Fast Temporal Response for Laser Produced Plasma Experiments

    SciTech Connect

    M. J. May, C. Halvorson, T. Perry, F. Weber, P. Young, C. Silbernagel

    2008-06-01

    Processes during laser plasma experiments typically have time scales that are less than 100 ps. The measurement of these processes requires X-ray detectors with fast temporal resolution. We have measured the temporal responses and linearity of several different Xray sensitive Photoconductive Detectors (PCDs). The active elements of the detectors investigated include both diamond (natural and synthetic) and GaAs crystals. The typical time responses of the GaAs PCDs are approximately 60 ps, respectively. Some characterizations using X-ray light from a synchrotron light source are presented.

  3. Photoconductive Detectors with Fast Temporal Response for Laser Produced Plasma Experiments.

    SciTech Connect

    May, M; Halvorson, C; Perry, T; Weber, F; Young, P; Silbernagel, C

    2008-05-06

    Processes during laser plasma experiments typically have time scales that are less than 100 ps. The measurement of these processes requires X-ray detectors with fast temporal resolution. We have measured the temporal responses and linearity of several different X-ray sensitive Photoconductive Detectors (PCDs). The active elements of the detectors investigated include both diamond (natural and synthetic) and GaAs crystals. The typical time responses of the GaAs PCDs are approximately 60 ps, respectively. Some characterizations using X-ray light from a synchrotron light source are presented.

  4. Fasting plasma glucose as a screening test for gestational diabetes mellitus.

    PubMed

    Agarwal, Mukesh M; Dhatt, Gurdeep S

    2007-02-01

    Although debated, most preeminent expert panels recommend routine screening for gestational diabetes mellitus (GDM). Among the many tests that have been used and evaluated for the screening of GDM, the fasting plasma glucose (FPG) remains very appealing. It is easy to administer, well tolerated, inexpensive, reproducible and patient friendly. However attractive, the FPG has given varied results in different populations and its use as a screening test for GDM remains uncertain. This review will objectively assess the available studies to find the real value of FPG as a screening test for GDM.

  5. Leukocyte telomere length is inversely associated with post-load but not with fasting plasma glucose levels.

    PubMed

    Khalangot, Mykola; Krasnienkov, Dmytro; Vaiserman, Alexander; Avilov, Ivan; Kovtun, Volodymir; Okhrimenko, Nadia; Koliada, Alexander; Kravchenko, Victor

    2017-04-01

    Type 2 diabetes mellitus is characterized by shorter leukocyte telomere length, but the relationship between leukocyte telomere length and type 2 diabetes mellitus development is rather questioned. Fasting and post-load glycaemia associated with different types of insulin resistance and their relation with leukocyte telomere length remains unknown. We compared leukocyte telomere length and fasting or post-load glucose levels in persons who do not receive glucose lowering treatment. For 82 randomly selected rural residents of Ukraine, aged 45+, not previously diagnosed with type 2 diabetes mellitus, the WHO oral glucose tolerance test and anthropometric measurements were performed. Leukocyte telomere length was measured by standardized method of quantitative monochrome multiplex polymerase chain reaction in real time. Spearman's or Pearson's rank correlation was used for correlation analysis between fasting plasma glucose or 2-h post-load plasma glucose levels and leukocyte telomere length. Logistical regression models were used to evaluate risks of finding short or long telomeres associated with fasting plasma glucose or 2-h post-load plasma glucose levels. No association of fasting plasma glucose and leukocyte telomere length was revealed, whereas 2-h post-load plasma glucose levels demonstrated a negative correlation ( P < 0.01) with leukocyte telomere length. Waist circumference and systolic blood pressure were negatively related ( P = 0.03) with leukocyte telomere length in men. Oral glucose tolerance test result-based glycemic categories did not show differences between mean leukocyte telomere length in categories of normal fasting plasma glucose and 2-h post-load plasma glucose (NGT, n = 33); diabetes mellitus (DM), n = 18 and impaired fasting glucose/tolerance (IFG/IGT, n = 31) levels. A correlation relationship between leukocyte telomere length and 2-h post-load plasma glucose level in NGT; IFG/IGT and DM groups ( P = 0.027; 0

  6. The development and testing of the fast imaging plasma spectrometer and its application in the plasma environment at Mercury

    NASA Astrophysics Data System (ADS)

    Koehn, Patrick Leo

    The plasma environment at Mercury is a rich laboratory for studying the interaction of the solar wind with a planet. Three primary populations of ions exist at Mercury: solar wind, magnetospheric particles, and pickup ions. Pickup ions are generated through the ionization of Mercury's exosphere or are sputtered particles from the Mercury surface. A comprehensive mission to Mercury should include a sensor that is able to determine the dynamical properties and composition of all three plasma components. The Fast Imaging Plasma Spectrometer (FIPS) is an instrument to measure the composition of these ion populations and their three-dimensional velocity distribution functions. It is lightweight, fast, and has a very large field of view, and these properties made possible its accommodation within the highly mass- constrained payload of MESSENGER (MErcury: Surface, Space ENvironment, GEochemistry, Ranging) mission, a Mercury orbiter. This work details the development cycle of FIPS, from concept to prototype testing. It begins with science studies of the magnetospheric and pickup ion environments of Mercury, using state-of-the-art computer simulations to produce static and quasi-dynamic magnetospheric systems. Predictions are made of the spatially variable plasma environment at Mercury, and the temporally varying magnetosphere-solar wind interaction is examined. Pickup ion studies provide insights to particle loss mechanisms and the nature of the radar-bright regions at the Hermean poles. These studies produce science requirements for successfully measuring this environment with an orbiting mass spectrometer. With these science requirements in mind, a concept for a new electrostatic analyzer is created. This concept is considered from a theoretical standpoint, and compared with other, similarly performing instruments, both of the past and currently in use. The development cycle continues with instrument simulation, which allows the design to be adjusted to fit within the

  7. Shear flow instability in a partially-ionized plasma sheath around a fast-moving vehicle

    SciTech Connect

    Sotnikov, V. I.; Mudaliar, S.; Genoni, T. C.; Rose, D. V.; Oliver, B. V.; Mehlhorn, T. A.

    2011-06-15

    The stability of ion acoustic waves in a sheared-flow, partially-ionized compressible plasma sheath around a fast-moving vehicle in the upper atmosphere, is described and evaluated for different flow profiles. In a compressible plasma with shear flow, instability occurs for any velocity profile, not just for profiles with an inflection point. A second-order differential equation for the electrostatic potential of excited ion acoustic waves in the presence of electron and ion collisions with neutrals is derived and solved numerically using a shooting method with boundary conditions appropriate for a finite thickness sheath in contact with the vehicle. We consider three different velocity flow profiles and find that in all cases that neutral collisions can completely suppress the instability.

  8. Plasma flow and fast particles in a hypervelocity accelerator - A color presentation. [micrometeoroid simulation

    NASA Technical Reports Server (NTRS)

    Igenbergs, E. B.; Cour-Palais, B.; Fisher, E.; Stehle, O.

    1975-01-01

    A new concept for particle acceleration for micrometeoroid simulation was developed at NASA Marshall Space Flight Center, using a high-density self-luminescent fast plasma flow to accelerate glass beads (with a diameter up to 1.0 mm) to velocities between 15-20 km/sec. After a short introduction to the operation of the hypervelocity range, the eight-converter-camera unit used for the photographs of the plasma flow and the accelerated particles is described. These photographs are obtained with an eight-segment reflecting pyramidal beam splitter. Wratten filters were mounted between the beam splitter and the converter tubes of the cameras. The photographs, which were recorded on black and white film, were used to make the matrices for the dye-color process, which produced the prints shown.

  9. Magnetized Fast ignition (MFI) and Laser Plasma Interactions in Strong Magnetic Field

    NASA Astrophysics Data System (ADS)

    Mima, Kunioki; Johzaki, T.; Honrubia, J.; Nagatomo, H.; Taguchi, T.; Sunahara, A.; Sakagami, H.; Fujioka, S.; Logan, G.

    2016-03-01

    In this paper, magnetized fast ignition (MFI) is proposed for improving the coupling efficiency of a heating laser to a core plasma. In the MFI, the external magnetic field is applied to reduce the hot electron energy and focus the dense hot electron flux to the core. The external magnetic field higher than 100T is generated by the laser driven coil and it is amplified by the implosion. The magnetic field at the tip of the cone is expected to reach higher than 10kT and the laser plasma interaction and the hot electron transport are modified. As the results of applying the external magnetic field, hot electron energy is reduced to less than 5MeV for the laser intensity of 1020W/ cm2 and the Weibel instability is suppressed to collimate the hot electron beam to the core.

  10. Fast ion generation and bulk plasma heating with three-ion ICRF scenarios

    SciTech Connect

    Kazakov, Ye. O. Van Eester, D.; Ongena, J.; Lerche, E.; Messiaen, A.

    2015-12-10

    Launching electromagnetic waves in the ion cyclotron range of frequencies (ICRF) is an efficient method of plasma heating, actively employed in most of fusion machines. ICRF has a number of important supplementary applications, including the generation of high-energy ions. In this paper, we discuss a new set of three-ion ICRF scenarios and the prospect of their use as a dedicated tool for fast ion generation in tokamaks and stellarators. A distinct feature of these scenarios is a strong absorption efficiency possible at very low concentrations of resonant minority ions (∼ 1% or even below). Such concentration levels are typical for impurities contaminating fusion plasmas. An alternative ICRF scenario for maximizing the efficiency of bulk D-T ion heating is suggested for JET and ITER tokamaks, which is based on three-ion ICRF heating of intrinsic Beryllium impurities.

  11. Be Foil "Filter Knee Imaging" NSTX Plasma with Fast Soft X-ray Camera

    SciTech Connect

    B.C. Stratton; S. von Goeler; D. Stutman; K. Tritz; L.E. Zakharov

    2005-08-08

    A fast soft x-ray (SXR) pinhole camera has been implemented on the National Spherical Torus Experiment (NSTX). This paper presents observations and describes the Be foil Filter Knee Imaging (FKI) technique for reconstructions of a m/n=1/1 mode on NSTX. The SXR camera has a wide-angle (28{sup o}) field of view of the plasma. The camera images nearly the entire diameter of the plasma and a comparable region in the vertical direction. SXR photons pass through a beryllium foil and are imaged by a pinhole onto a P47 scintillator deposited on a fiber optic faceplate. An electrostatic image intensifier demagnifies the visible image by 6:1 to match it to the size of the charge-coupled device (CCD) chip. A pair of lenses couples the image to the CCD chip.

  12. Plasma flow and fast particles in a hypervelocity accelerator - A color presentation. [micrometeoroid simulation

    NASA Technical Reports Server (NTRS)

    Igenbergs, E. B.; Cour-Palais, B.; Fisher, E.; Stehle, O.

    1975-01-01

    A new concept for particle acceleration for micrometeoroid simulation was developed at NASA Marshall Space Flight Center, using a high-density self-luminescent fast plasma flow to accelerate glass beads (with a diameter up to 1.0 mm) to velocities between 15-20 km/sec. After a short introduction to the operation of the hypervelocity range, the eight-converter-camera unit used for the photographs of the plasma flow and the accelerated particles is described. These photographs are obtained with an eight-segment reflecting pyramidal beam splitter. Wratten filters were mounted between the beam splitter and the converter tubes of the cameras. The photographs, which were recorded on black and white film, were used to make the matrices for the dye-color process, which produced the prints shown.

  13. Fast electron energy deposition in a magnetized plasma: Kinetic theory and particle-in-cell simulation

    SciTech Connect

    Robiche, J.; Rax, J.-M.; Bonnaud, G.; Gremillet, L.

    2010-03-15

    The collisional dynamics of a relativistic electron jet in a magnetized plasma are investigated within the framework of kinetic theory. The relativistic Fokker-Planck equation describing slowing down, pitch angle scattering, and cyclotron rotation is derived and solved. Based on the solution of this Fokker-Planck equation, an analytical formula for the root mean square spot size transverse to the magnetic field is derived and this result predicts a reduction in radial transport. Some comparisons with particle-in-cell simulation are made and confirm striking agreement between the theory and the simulation. For fast electron with 1 MeV typical kinetic energy interacting with a solid density hydrogen plasma, the energy deposition density in the transverse direction increases by a factor 2 for magnetic field of the order of 1 T. Along the magnetic field, the energy deposition profile is unaltered compared with the field-free case.

  14. Fast ion generation and bulk plasma heating with three-ion ICRF scenarios

    NASA Astrophysics Data System (ADS)

    Kazakov, Ye. O.; Van Eester, D.; Dumont, R.; Ongena, J.; Lerche, E.; Messiaen, A.

    2015-12-01

    Launching electromagnetic waves in the ion cyclotron range of frequencies (ICRF) is an efficient method of plasma heating, actively employed in most of fusion machines. ICRF has a number of important supplementary applications, including the generation of high-energy ions. In this paper, we discuss a new set of three-ion ICRF scenarios and the prospect of their use as a dedicated tool for fast ion generation in tokamaks and stellarators. A distinct feature of these scenarios is a strong absorption efficiency possible at very low concentrations of resonant minority ions (˜ 1% or even below). Such concentration levels are typical for impurities contaminating fusion plasmas. An alternative ICRF scenario for maximizing the efficiency of bulk D-T ion heating is suggested for JET and ITER tokamaks, which is based on three-ion ICRF heating of intrinsic Beryllium impurities.

  15. Diagnostic value of hemoglobin A1c for type 2 diabetes mellitus in a population at risk.

    PubMed

    Peter, A; Fritsche, A; Stefan, N; Heni, M; Häring, H-U; Schleicher, E

    2011-04-01

    Because the American Diabetes Association has recently included HbA1c as the primary diagnostic test for the detection of diabetes mellitus (HbA1c ≥6.5%) we investigated its use as screening parameter for diabetes in a cohort at increased risk for the disease. During the last 10 years 2 036 Caucasians at risk to develop type 2 diabetes but not having this diagnosis yet, consecutively underwent a 75 g oral glucose tolerance test (OGTT). HbA1c was determined with the HPLC method (Tosoh A1c 2.2), external and internal quality controls were well within the allowed ranges. The oral glucose tolerance test classified 1 523 individuals as normal glucose tolerant (NGT), 387 as impaired glucose tolerant (IGT) or having impaired fasting glycemia (IFG) and 126 as diabetic. The 6.5% cut-off value of HbA1c classified 47% of the diabetic individuals correctly. Of the remaining 53% diabetic individuals (HbA1c <6.5%) 35% had increased fasting glucose levels, while 65% were only diagnosed by their increased 2 h glucose values. A cut-off value of 6.5% HbA1c classifies diabetic subjects with a specificity of 98.7%. However, the sensitivity of 46.8% is low, indicating that more than half of diabetic subjects are missed when using this test. The present data shows that the use of HbA1c as a the primary diagnostic test will reduce diabetes prevalence. Furthermore, it suggests, that HbA1c and OGTT measurements cannot simply be exchanged, but most probably detect and define different categories of diabetes, i. e., categories with different risk of cardiovascular disease. © J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York.

  16. Plasma-beta dependence of the fast reconnection mechanism in an initially force-free current sheet

    SciTech Connect

    Ugai, M.

    2011-10-15

    The present paper systematically studies the spontaneous fast reconnection mechanism in an initially force-free current sheet in a wide range of plasma beta ({beta}); in our previous work it was studied for a special case of {beta} = 0.15. In each case, the evolution as well as the resulting structure of the fast reconnection is qualitatively similar to the one that was already reported for the case of {beta} = 0.15. Quantitatively, the fast reconnection evolution becomes more rapid and drastic for the lower plasma beta. For the cases of very low plasma beta ({beta} = 0.01 or 0.02), the plasma temperature is extremely enhanced to the value almost 1/{beta} times larger than its initial value in the resulting fast reconnection jet and large-scale plasmoid regions. Once the fast reconnection mechanism is ignited in a local spot-like region, its basic structure eventually established is sustained almost steadily, giving rise to the plasmoid swelling with time and propagating outwards. Accordingly, the characteristic reconnection regions, where plasma thermodynamic quantities are remarkably enhanced, rapidly expand in all (x, y, and z) directions in Alfven time scales, which may be responsible for the explosive expansion of large flares as well as for the distinct plasma heating observed in the solar corona.

  17. Genome-wide linkage analysis replicates susceptibility locus for fasting plasma triglycerides: NHLBI Family Heart Study.

    PubMed

    Arnett, Donna K; Miller, Michael B; Coon, Hilary; Ellison, R Curtis; North, Kari E; Province, Michael; Leppert, Mark; Eckfeldt, John H

    2004-11-01

    Recent reports implicate chromosomal regions linked to inter-individual variation in plasma triglycerides. We conducted genome-wide scans to replicate these linkages and/or identify other loci influencing plasma triglycerides in the NHLBI Family Heart Study (FHS). Data were obtained for 501 three-generational families. Genotyping was done by the Utah Molecular Genetics Laboratory and NHLBI Mammalian Genotyping Service; markers from both were placed on one genetic map. Analysis was done using multipoint variance components linkage. Fasting plasma triglycerides were log-transformed and age-, sex-, and field center-adjusted; suggestive linkage evidence was found on chromosome 8 (LOD=2.80 at 89 cM, marker D8S1141). Further adjustment for waist girth, BMI, diabetes, hypertension, and lipid-lowering drugs suggested linkage regions on chromosomes 6 (LOD=2.29 at 79 cM, marker D6S295) and 15 (LOD=1.85 at 43 cM, marker D15S659). Since HDL is correlated with triglycerides and because it was linked to this region on chromosome 15 in FHS, we created a composite triglyceride-HDL phenotype. The combined phenotype LOD score was 3.0 at the same marker on chromosome 15. Chromosome 15 likely harbors a susceptibility locus with an influence on triglycerides and HDL. Regions on chromosomes 6 and 8 may also contain loci contributing to inter-individual variation in plasma triglycerides.

  18. Generation of plasma rotation in a tokamak by ion-cyclotron absorption of fast Alfven waves

    SciTech Connect

    F.W. Perkins; R.B. White; P. Bonoli

    2000-06-13

    Control of rotation in tokamak plasmas provides a method for suppressing fine-scale turbulent transport by velocity shear and for stabilizing large-scale magnetohydrodynamic instabilities via a close-fitting conducting shell. The experimental discovery of rotation in a plasma heated by the fast-wave minority ion cyclotron process is important both as a potential control method for a fusion reactor and as a fundamental issue, because rotation arises even though this heating process introduces negligible angular momentum. This paper proposes and evaluates a mechanism which resolves this apparent conflict. First, it is assumed that angular momentum transport in a tokamak is governed by a diffusion equation with a no-slip boundary condition at the plasma surface and with a torque-density source that is a function of radius. When the torque density source consists of two separated regions of positive and negative torque density, a non-zero central rotation velocity results, even when the total angular momentum input vanishes. Secondly, the authors show that localized ion-cyclotron heating can generate regions of positive and negative torque density and consequently central plasma rotation.

  19. Laser Channeling in an Inhomogeneous Plasma for Fast-Ignition Laser Fusion

    NASA Astrophysics Data System (ADS)

    Ivancic, S.; Haberberger, D.; Theobald, W.; Anderson, K. S.; Froula, D. H.; Meyerhofer, D. D.; Tanaka, K.; Habara, H.; Iwawaki, T.

    2014-10-01

    The evacuation of a plasma cavity by a high-intensity laser beam is of practical importance to the channeling fast-ignition concept. The channel in the plasma corona of an imploded inertial confinement fusion capsule provides a clear path through the plasma so that the energy from a second high-intensity laser can be deposited close to the dense core of the assembled fuel to achieve ignition. This study reports on experiments that demonstrate the transport of high-intensity (>1017 W/cm2) laser light through an inhomogeneous kilojoule-laser-produced plasma up to overcritical density. The multikilojoule high-intensity light evacuates a cavity inside the focal spot, leaving a parabolic trough that is observed using a novel optical probing technique--angular filter refractometery. The cavity forms in less than 100 ps using a 20-TW laser pulse and bores at a velocity of ~ 2 μm/ps. The experimentally measured depths of the cavity are consistent with a ponderomotive hole-boring model. The experiments show that 100-ps IR pulses with an intensity of ~ 5 ×1017 W/cm2 produced a channel up to the critical density, while 10-ps pulses with the same energy but higher intensity did not propagate as far. This material is based upon work supported by the Department of Energy National Nuclear Security Administration under Award Number DE-NA0001944.

  20. Nonlinear resonant absorption of fast magnetoacoustic waves in strongly anisotropic and dispersive plasmas

    SciTech Connect

    Clack, Christopher T. M.; Ballai, Istvan

    2009-04-15

    The nonlinear theory of driven magnetohydrodynamics (MHD) waves in strongly anisotropic and dispersive plasmas, developed for slow resonance by Clack and Ballai [Phys. Plasmas 15, 2310 (2008)] and Alfven resonance by Clack et al. [Astron. Astrophys. 494, 317 (2009)], is used to study the weakly nonlinear interaction of fast magnetoacoustic (FMA) waves in a one-dimensional planar plasma. The magnetic configuration consists of an inhomogeneous magnetic slab sandwiched between two regions of semi-infinite homogeneous magnetic plasmas. Laterally driven FMA waves penetrate the inhomogeneous slab interacting with the localized slow or Alfven dissipative layer and are partly reflected, dissipated, and transmitted by this region. The nonlinearity parameter defined by Clack and Ballai (2008) is assumed to be small and a regular perturbation method is used to obtain analytical solutions in the slow dissipative layer. The effect of dispersion in the slow dissipative layer is to further decrease the coefficient of energy absorption, compared to its standard weakly nonlinear counterpart, and the generation of higher harmonics in the outgoing wave in addition to the fundamental one. The absorption of external drivers at the Alfven resonance is described within the linear MHD with great accuracy.

  1. Antidepressant medication use and trajectories of fasting plasma glucose, glycated haemoglobin, β-cell function and insulin sensitivity: a 9-year longitudinal study of the D.E.S.I.R. cohort.

    PubMed

    Da Silva, Marine Azevedo; Dugravot, Aline; Balkau, Beverley; Roussel, Ronan; Fumeron, Frédéric; Elbaz, Alexis; Canonico, Marianne; Singh-Manoux, Archana; Nabi, Hermann

    2015-12-01

    Use of antidepressants is seen to be a risk factor for type 2 diabetes, even though the underlying mechanisms remain unclear. We examined whether antidepressant use was associated with change in fasting plasma glucose, glycated haemoglobin (HbA1c), β-cell function (HOMA2-%B) and insulin sensitivity (HOMA2-%S) over time. Participants in the French D.E.S.I.R. cohort study included over 4700 men (48.1%) and women, free of diabetes, aged 30-65 years at baseline in 1994-96 (D.E.S.I.R. 0), who were followed for 9 years at 3-yearly intervals (D.E.S.I.R. 3, 1997-99; 6, 2000-02; 9, 2003-05). Antidepressant use, fasting plasma glucose, HbA1c, HOMA2-%B and HOMA2-%S were assessed concurrently at four medical examinations. Linear mixed models were used to examine the cross-sectional and longitudinal associations of time-dependent antidepressant use with changes in these four biological parameters. Mean fasting plasma glucose and HbA1c increased whereas HOMA2-%B and HOMA2-%S decreased over the follow-up. In a fully adjusted model, there were no differences in: mean fasting plasma glucose (β = 0.01 mmol/l, P = 0.702); HbA1c (β = 0.01 %, P = 0.738); HOMA2-%B (β = 0.00, P = 0.812); or HOMA2-%S (β =-0.01, P = 0.791) at baseline (1994-96) between antidepressant users and non-users. The interaction term with time also suggested no differences in the annual change in: fasting plasma glucose (β = 0.00 mmol/l, P = 0.322); HbA1c (β = 0.00 %, P = 0.496); HOMA2-%B (β = 0.00, P = 0.609); or HOMA2-%S (β = 0.00, P = 0.332) between antidepressant users and non-users. Similar associations were observed in analyses of type and cumulative use of antidepressants over follow-up. Our longitudinal data show that use of antidepressants is not associated with altered glucose metabolism, suggesting that the association between antidepressant use and diabetes reported by previous studies may not be causal. Detection bias or

  2. PERFORMANCE OF A1C VERSUS OGTT FOR THE DIAGNOSIS OF PREDIABETES IN A COMMUNITY-BASED SCREENING

    PubMed Central

    Camacho, Jenny E.; Shah, Vallabh O.; Schrader, Ronald; Wong, Craig S.; Burge, Mark R.

    2017-01-01

    Objective Reliable identification of individuals at risk for developing diabetes is critical to instituting preventative strategies. Studies suggest that the accuracy of using A1c as a sole diagnostic criterion for diabetes may be variable across different ethnic groups. We postulate that there will be lack of concordance between A1c and the Oral Glucose Tolerance Test (OGTT) for diagnosing prediabetes across Hispanic and Non-Hispanic White (NHW) populations. Research Design and Methods 218 asymptomatic adults at risk for Type 2 Diabetes (T2D) were assessed with A1c and OGTT for the diagnosis of prediabetes. Glucose homeostasis status was assigned as no diabetes (A1c < 5.7%), prediabetes (A1c 5.7% – 6.4%), and T2D (A1c > 6.4%). Inclusion criteria were age > 18 years and at least one of the following: a family history of diabetes, a history of gestational diabetes, Hispanic ethnicity, non-Caucasian race, or obesity. Subjects received a fasting 75-gram OGTT and A1c on the same day. Bowker’s Test of Symmetry was employed to determine agreement between the tests. Results Data from 99 Hispanic patients and 79 NHW patients were analyzed. There was no concordance between A1c and OGTT for Hispanic (p=0.002) or NHW individuals (p=0.003) with prediabetes. Conclusions A1c is discordant with OGTT among Hispanic and NHW subjects for the diagnosis of prediabetes. Sole use of A1c to designate glycemic status will result in a greater prevalence of prediabetes among Hispanic and NHW New Mexicans. PMID:27482613

  3. Reliability of fasting plasma alkylresorcinol metabolites concentrations measured 4 months apart.

    PubMed

    Montonen, J; Landberg, R; Kamal-Eldin, A; Åman, P; Boeing, H; Steffen, A; Pischon, T

    2012-08-01

    Alkylresorcinols (AR) have been suggested as specific dietary biomarkers of whole-grain wheat and rye intake. AR are metabolised to 3,5-dihydroxybenzoic acid (DHBA) and 3-(3,5-dihydroxyphenyl)-1-propanoic acid (DHPPA), which have longer apparent half-lives and were recently proposed to better reflect long-term whole-grain consumption than the intact AR. The objective of this study was to analyse the reliability--expressed by the intraclass correlation coefficient (ICC)--of AR metabolite concentrations among 100 participants from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam study who provided two fasting plasma samples 4 months apart. DHBA and DHPPA concentrations were not significantly different between the first and second measurement over the 4-month period (P>0.05). The ICC was 0.32 (95% confidence interval (CI)=0.13-0.49) for DHBA and 0.37 (95%CI=0.19-0.53) for DHPPA. These results suggest that AR metabolites cannot be considered to be better biomarkers of whole-grain wheat and rye intake than the intact AR in fasting plasma (ICC=0.42).

  4. Renal responses to plasma volume expansion and hyperosmolality in fasting seal pups

    NASA Technical Reports Server (NTRS)

    Ortiz, Rudy M.; Wade, Charles E.; Costa, Daniel P.; Ortiz, C. Leo

    2002-01-01

    Renal responses were quantified in northern elephant seal (Mirounga angustirostris) pups during their postweaning fast to examine their excretory capabilities. Pups were infused with either isotonic (0.9%; n = 8; Iso) or hypertonic (16.7%; n = 7; Hyper) saline via an indwelling catheter such that each pup received 3 mmol NaCl/kg. Diuresis after the infusions was similar in magnitude between the two treatments. Osmotic clearance increased by 37% in Iso and 252% in Hyper. Free water clearance was reduced 3.4-fold in Hyper but was not significantly altered in Iso. Glomerular filtration rate increased 71% in the 24-h period after Hyper, but no net change occurred during the same time after Iso. Natriuresis increased 3.6-fold in Iso and 5.3-fold in Hyper. Iso decreased plasma arginine vasopressin (AVP) and cortisol acutely, whereas Hyper increased plasma and excreted AVP and cortisol. Iso was accompanied by the retention of water and electrolytes, whereas the Hyper load was excreted within 24 h. Natriuresis is attributed to increased filtration and is independent of an increase in atrial natriuretic peptide and decreases in ANG II and aldosterone. Fasting pups appear to have well-developed kidneys capable of both extreme conservation and excretion of Na(+).

  5. Renal responses to plasma volume expansion and hyperosmolality in fasting seal pups

    NASA Technical Reports Server (NTRS)

    Ortiz, Rudy M.; Wade, Charles E.; Costa, Daniel P.; Ortiz, C. Leo

    2002-01-01

    Renal responses were quantified in northern elephant seal (Mirounga angustirostris) pups during their postweaning fast to examine their excretory capabilities. Pups were infused with either isotonic (0.9%; n = 8; Iso) or hypertonic (16.7%; n = 7; Hyper) saline via an indwelling catheter such that each pup received 3 mmol NaCl/kg. Diuresis after the infusions was similar in magnitude between the two treatments. Osmotic clearance increased by 37% in Iso and 252% in Hyper. Free water clearance was reduced 3.4-fold in Hyper but was not significantly altered in Iso. Glomerular filtration rate increased 71% in the 24-h period after Hyper, but no net change occurred during the same time after Iso. Natriuresis increased 3.6-fold in Iso and 5.3-fold in Hyper. Iso decreased plasma arginine vasopressin (AVP) and cortisol acutely, whereas Hyper increased plasma and excreted AVP and cortisol. Iso was accompanied by the retention of water and electrolytes, whereas the Hyper load was excreted within 24 h. Natriuresis is attributed to increased filtration and is independent of an increase in atrial natriuretic peptide and decreases in ANG II and aldosterone. Fasting pups appear to have well-developed kidneys capable of both extreme conservation and excretion of Na(+).

  6. On-board moments from Magnetospheric Multiscale's Fast Plasma Instrumentation in studies of turbulence

    NASA Astrophysics Data System (ADS)

    Paterson, William R.; Giles, Barbara L.; Avanov, Levon A.; Barrie, Alex C.; Boardsen, Scott A.; Dorelli, John C.; Gershman, Daniel J.; Mackler, David A.; El-Alaoui, Mostafa; Burch, James L.; Russell, Christopher T.; Torbert, Roy B.

    2017-04-01

    The Fast Plasma Instrumentation for the Magnetospheric Multiscale mission measures the velocity distributions of electrons and ions with energies several eV to 30 keV. In its fast survey mode of operation, velocity distributions are acquired every 30 ms for the electrons and every 150 ms for the ions. Due to telemetry limitations, only a small subset of these distributions can be transmitted to the ground. To facilitate selection of intervals with high potential for addressing magnetic reconnection, a compact set of approximate plasma moments is computed onboard the spacecraft and sent to the ground at the full temporal resolution of the instrumentation. Although these moments were not intended for direct use in scientific investigations, they have the advantage of being the only FPI data product that is available at high time resolution across the entire scientific region of interest. In this presentation we report on prospects for using these data to address scientific questions, with emphasis on studies of turbulence.

  7. Diagnostics of fast formation of distributed plasma discharges using X-band microwaves

    SciTech Connect

    Xiang, X. Kupczyk, B.; Booske, J.; Scharer, J.

    2014-02-14

    We present measurements of high power (25.7 kW), pulsed (800 ns), X-band (9.382 GHz) microwave breakdown plasmas, including reflected power measurements, mixer reflected amplitude and phase measurements, optical emission spectroscopy (OES) measurements, and an analysis that estimates the average electron density and electron temperature. In addition, a six-region, 1-D model was used to determine plasma parameters and compare with the experimental results. The experimental results show that using a 43 Hz repetition rate with an 800 ns pulse, fast (<300 ns) breakdown occurs in neon measured between 50 Torr and 250 Torr, producing plasma that lasts for over 7 μs. It also leads to large microwave reflections (70%) and an on-axis transmission attenuation of −15 dB. Moreover, a comparison between a 1-D model and mixer measurements shows that at 100 Torr, the neon plasma electron density peaked at 2 × 10{sup 12} cm{sup −3}, and the electron temperature peaked at 2.5 eV assuming a Maxwellian distribution. The addition of 2% Ar in Ne reduced the breakdown time and allowed OES measurements to determine the effective electron temperature. OES measurements of mixed (Ne/Ar: 98/2) argon line ratios (420.1 nm/419.8 nm) were used to determine the average effective electron temperature T{sub e(eff)} = 1.2 eV, averaged over the entire 7μs plasma lifetime. They indicate that the electron energy distribution was not Maxwellian but, instead, tended towards a Druyvesteyn character.

  8. Shifting from glucose diagnosis to the new HbA1c diagnosis reduces the capability of the Finnish Diabetes Risk Score (FINDRISC) to screen for glucose abnormalities within a real-life primary healthcare preventive strategy

    PubMed Central

    2013-01-01

    Background To investigate differences in the performance of the Finnish Diabetes Risk Score (FINDRISC) as a screening tool for glucose abnormalities after shifting from glucose-based diagnostic criteria to the proposed new hemoglobin (Hb)A1c-based criteria. Methods A cross-sectional primary-care study was conducted as the first part of an active real-life lifestyle intervention to prevent type 2 diabetes within a high-risk Spanish Mediterranean population. Individuals without diabetes aged 45-75 years (n = 3,120) were screened using the FINDRISC. Where feasible, a subsequent 2-hour oral glucose tolerance test and HbA1c test were also carried out (n = 1,712). The performance of the risk score was calculated by applying the area under the curve (AUC) for the receiver operating characteristic, using three sets of criteria (2-hour glucose, fasting glucose, HbA1c) and three diagnostic categories (normal, pre-diabetes, diabetes). Results Defining diabetes by a single HbA1c measurement resulted in a significantly lower diabetes prevalence (3.6%) compared with diabetes defined by 2-hour plasma glucose (9.2%), but was not significantly lower than that obtained using fasting plasma glucose (3.1%). The FINDRISC at a cut-off of 14 had a reasonably high ability to predict diabetes using the diagnostic criteria of 2-hour or fasting glucose (AUC = 0.71) or all glucose abnormalities (AUC = 0.67 and 0.69, respectively). When HbA1c was used as the primary diagnostic criterion, the AUC for diabetes detection dropped to 0.67 (5.6% reduction in comparison with either 2-hour or fasting glucose) and fell to 0.55 for detection of all glucose abnormalities (17.9% and 20.3% reduction, respectively), with a relevant decrease in sensitivity of the risk score. Conclusions A shift from glucose-based diagnosis to HbA1c-based diagnosis substantially reduces the ability of the FINDRISC to screen for glucose abnormalities when applied in this real-life primary-care preventive strategy. PMID

  9. Catechol-O-methyltransferase association with hemoglobin A1c

    PubMed Central

    Hall, Kathryn T.; Jablonski, Kathleen A.; Chen, Ling; Harden, Maegan; Tolkin, Benjamin R.; Kaptchuk, Ted J.; Bray, George A.; Ridker, Paul M.; Florez, Jose C.; Chasman, Daniel I.

    2016-01-01

    Aims Catecholamines have metabolic effects on blood pressure, insulin sensitivity and blood glucose. Genetic variation in catechol-O-methyltransferase (COMT), an enzyme that degrades catecholamines, is associated with cardiometabolic risk factors and incident cardiovascular disease (CVD). Here we examined COMT effects on glycemic function and type 2 diabetes. Methods We tested whether COMT polymorphisms were associated with baseline HbA1c in the Women’s Genome Health Study (WGHS), and Meta-Analyses of Glucose and Insulin-related traits Consortium (MAGIC), and with susceptibility to type 2 diabetes in WGHS, DIAbetes Genetics Replication And Meta-analysis consortium (DIAGRAM), and the Diabetes Prevention Program (DPP). Given evidence that COMT modifies some drug responses, we examined association with type 2 diabetes and randomized metformin and aspirin treatment. Results COMT rs4680 high-activity G-allele was associated with lower HbA1c in WGHS (β = −0.032% [0.012], p = 0.008) and borderline significant in MAGIC (β = −0.006% [0.003], p = 0.07). Combined COMT per val allele effects on type 2 diabetes were significant (OR = 0.98 [0.96–0.998], p = 0.03) in fixed-effects analyses across WGHS, DIAGRAM, and DPP. Similar results were obtained for 2 other COMT SNPs rs4818 and rs4633. In the DPP, the rs4680 val allele was borderline associated with lower diabetes incidence among participants randomized to metformin (HR = 0.81 [0.65–1.00], p = 0.05). Conclusions COMT rs4680 high-activity G-allele was associated with lower HbA1c and modest protection from type 2 diabetes. The directionality of COMT associations was concordant with those previously observed for cardiometabolic risk factors and CVD. PMID:27282867

  10. Burden of Diabetes and First Evidence for the Utility of HbA1c for Diagnosis and Detection of Diabetes in Urban Black South Africans: The Durban Diabetes Study

    PubMed Central

    Hird, Thomas R.; Pirie, Fraser J.; Esterhuizen, Tonya M.; O’Leary, Brian; McCarthy, Mark I.; Young, Elizabeth H.; Sandhu, Manjinder S.; Motala, Ayesha A.

    2016-01-01

    Objective Glycated haemoglobin (HbA1c) is recommended as an additional tool to glucose-based measures (fasting plasma glucose [FPG] and 2-hour plasma glucose [2PG] during oral glucose tolerance test [OGTT]) for the diagnosis of diabetes; however, its use in sub-Saharan African populations is not established. We assessed prevalence estimates and the diagnosis and detection of diabetes based on OGTT, FPG, and HbA1c in an urban black South African population. Research Design and Methods We conducted a population-based cross-sectional survey using multistage cluster sampling of adults aged ≥18 years in Durban (eThekwini municipality), KwaZulu-Natal. All participants had a 75-g OGTT and HbA1c measurements. Receiver operating characteristic (ROC) analysis was used to assess the overall diagnostic accuracy of HbA1c, using OGTT as the reference, and to determine optimal HbA1c cut-offs. Results Among 1190 participants (851 women, 92.6% response rate), the age-standardised prevalence of diabetes was 12.9% based on OGTT, 11.9% based on FPG, and 13.1% based on HbA1c. In participants without a previous history of diabetes (n = 1077), using OGTT as the reference, an HbA1c ≥48 mmol/mol (6.5%) detected diabetes with 70.3% sensitivity (95%CI 52.7–87.8) and 98.7% specificity (95%CI 97.9–99.4) (AUC 0.94 [95%CI 0.89–1.00]). Additional analyses suggested the optimal HbA1c cut-off for detection of diabetes in this population was 42 mmol/mol (6.0%) (sensitivity 89.2% [95%CI 78.6–99.8], specificity 92.0% [95%CI: 90.3–93.7]). Conclusions In an urban black South African population, we found a high prevalence of diabetes and provide the first evidence for the utility of HbA1c for the diagnosis and detection of diabetes in black Africans in sub-Saharan Africa. PMID:27560687

  11. Fasting and exercise increase plasma cannabinoid levels in THC pre-treated rats: an examination of behavioural consequences.

    PubMed

    Wong, Alexander; Keats, Kirily; Rooney, Kieron; Hicks, Callum; Allsop, David J; Arnold, Jonathon C; McGregor, Iain S

    2014-10-01

    Δ(9)-Tetrahydrocannabinol (THC), the main psychoactive constituent of cannabis, accumulates in fat tissue where it can remain for prolonged periods. Under conditions of increased fat utilisation, blood cannabinoid concentrations can increase. However, it is unclear whether this has behavioural consequences. Here, we examined whether rats pre-treated with multiple or single doses of THC followed by a washout would show elevated plasma cannabinoids and altered behaviour following fasting or exercise manipulations designed to increase fat utilisation. Behavioural impairment was measured as an inhibition of spontaneous locomotor activity or a failure to successfully complete a treadmill exercise session. Fat utilisation was indexed by plasma free fatty acid (FFA) levels with plasma concentrations of THC and its terminal metabolite (-)-11-nor-9-carboxy-∆(9)-tetrahydrocannabinol (THC-COOH) also measured. Rats given daily THC (10 mg/kg) for 5 days followed by a 4-day washout showed elevated plasma THC-COOH when fasted for 24 h relative to non-fasted controls. Fasted rats showed lower locomotor activity than controls suggesting a behavioural effect of fat-released THC. However, rats fasted for 20 h after a single 5-mg/kg THC injection did not show locomotor suppression, despite modestly elevated plasma THC-COOH. Rats pre-treated with THC (5 mg/kg) and exercised 20 h later also showed elevated plasma THC-COOH but did not differ from controls in their likelihood of completing 30 min of treadmill exercise. These results confirm that fasting and exercise can increase plasma cannabinoid levels. Behavioural consequences are more clearly observed with pre-treatment regimes involving repeated rather than single THC dosing.

  12. Effect of the long-term regular intake of virgin olive oil on the phenolic metabolites in human fasting plasma.

    PubMed

    Valls, Rosa-Maria; Soler, Aranzazu; Girona, Josefa; Heras, Mercedes; Romero, Maria-Paz; Covas, Maria-Isabel; Solà, Rosa; Masana, Lluis; Motilva, Maria-Jose

    2010-09-21

    The effect of repeated consumption of virgin olive oil on endogenous phenolic metabolites of fasting plasma is unknown. For this reason, we hypothesized that regular long-term virgin olive oil intake could have an indirect protection effect on the endogenous phenols. Thus, the aim of the study was to determine the phenolic profile of human plasma in a fasting state of long-term regular virgin olive oil consumers, using the fasting plasma of non-consumers as a natural control. Forty participants living in the area of Reus (Catalonia, Spain) were selected, 20 life-long regular consumers of virgin olive oil and a natural control of 20 non-consumers, the latter being Rumanians who dislike the taste of olive oil. The diet was obtained from 3-day food records. The results showed similar phenolic composition of fasting plasmas of the two volunteer groups. Of special interest is that more of the compounds quantified showed higher concentration in fasting plasma from habitual virgin olive oil consumers. The compounds were semi-quantified using caffeic acid as the calibration standard. The quantification of fasting consumer's plasma showed higher concentration of a hydroxyflavanone type compound (2.90+/-0.04 microM vs 1.5+/-0.04 microM) and a catecholamine derivative (0.70+/-0.03 microM vs 0.56+/-0.03 microM) than the plasma of non-consumers (P<0.05). The results suggest an indirect protective mechanism of long-term regular virgin olive oil consumption related to the protection of the endogenous antioxidant system.

  13. Metabonomic fingerprints of fasting plasma and spot urine reveal human pre-diabetic metabolic traits

    PubMed Central

    Zhao, Xinjie; Fritsche, Jens; Wang, Jiangshan; Chen, Jing; Rittig, Kilian; Schmitt-Kopplin, Philippe; Fritsche, Andreas; Häring, Hans-Ulrich; Schleicher, Erwin D.

    2010-01-01

    Impaired glucose tolerance (IGT) which precedes overt type 2 diabetes (T2DM) for decades is associated with multiple metabolic alterations in insulin sensitive tissues. In an UPLC-qTOF-mass spectrometry-driven non-targeted metabonomics approach we investigated plasma as well as spot urine of 51 non-diabetic, overnight fasted individuals aiming to separate subjects with IGT from controls thereby identify pathways affected by the pre-diabetic metabolic state. We could clearly demonstrate that normal glucose tolerant (NGT) and IGT subjects clustered in two distinct groups independent of the investigated metabonome. These findings reflect considerable differences in individual metabolite fingerprints, both in plasma and urine. Pre-diabetes associated alterations in fatty acid-, tryptophan-, uric acid-, bile acid-, and lysophosphatidylcholine-metabolism, as well as the TCA cycle were identified. Of note, individuals with IGT also showed decreased levels of gut flora-associated metabolites namely hippuric acid, methylxanthine, methyluric acid, and 3-hydroxyhippuric acid. The findings of our non-targeted UPLC-qTOF-MS metabonomics analysis in plasma and spot urine of individuals with IGT vs NGT offers novel insights into the metabolic alterations occurring in the long, asymptomatic period preceding the manifestation of T2DM thereby giving prospects for new intervention targets. Electronic supplementary material The online version of this article (doi:10.1007/s11306-010-0203-1) contains supplementary material, which is available to authorized users. PMID:20676218

  14. Fast magnetic twister and plasma perturbations in a three-dimensional coronal arcade

    SciTech Connect

    Murawski, K.; Srivastava, A. K.; Musielak, Z. E. E-mail: asrivastava.app@iitbhu.ac.in E-mail: musielak@kis.uni-freiburg.de

    2014-06-10

    We present results of three-dimensional (3D) numerical simulations of a fast magnetic twister excited above a foot-point of the potential solar coronal arcade that is embedded in the solar atmosphere with the initial VAL-IIIC temperature profile, which is smoothly extended into the solar corona. With the use of the FLASH code, we solve 3D ideal magnetohydrodynamic equations by specifying a twist in the azimuthal component of magnetic field in the solar chromosphere. The imposed perturbation generates torsional Alfvén waves as well as plasma swirls that reach the other foot-point of the arcade and partially reflect back from the transition region. The two vortex channels are evident in the generated twisted flux-tube with a fragmentation near its apex which results from the initial twist as well as from the morphology of the tube. The numerical results are compared to observational data of plasma motions in a solar prominence. The comparison shows that the numerical results and the data qualitatively agree even though the observed plasma motions occur over comparatively large spatio-temporal scales in the prominence.

  15. Simulation of high-energy proton production by fast magnetosonic shock waves in pinched plasma discharges

    NASA Astrophysics Data System (ADS)

    Mizuguchi, Yusuke; Sakai, Jun-Ichi; Yousefi, Hamid Reza; Haruki, Takayuki; Masugata, Katsumi

    2007-03-01

    High-energy particles of a few hundred keV for electrons and up to MeV for ions were observed in a plasma focus device. Haruki et al. [Phys. Plasmas 13, 082106-1 (2006)] studied the mechanism of high-energy particle production in pinched plasma discharges by use of a 3D relativistic and fully electromagnetic particle-in-cell code. It was found that the pinched current is unstable against a sausage instability, and then becomes unstable against a kink instability. As a result high-energy electrons were observed, but protons with MeV energies were not observed. In this paper the same pinch dynamics as Haruki and co-workers is investigated, focusing on the shock formation and the shock acceleration during the pinched current. It is found that a fast magnetosonic shock wave is produced during the pinching phase which, after the maximum pinch occurs, is strongly enhanced and propagates outwards. Some protons trapped in the electrostatic potential produced near the shock front can be accelerated to a few MeV by the surfatron acceleration mechanism. It is also found that the protons accelerated along the pinched axis have a ring-shaped angular distribution that is observed from numerous experiments.

  16. Impact of diabetes duration on achieved reductions in glycated haemoglobin, fasting plasma glucose and body weight with liraglutide treatment for up to 28 weeks: a meta‐analysis of seven phase III trials

    PubMed Central

    Bailey, T.; Barkholt Christensen, S.; Nauck, M. A.

    2016-01-01

    This meta‐analysis of seven randomized, placebo‐controlled studies (total 3222 patients) evaluated whether type 2 diabetes (T2D) duration affects the changes in blood glucose control and body weight that can be achieved with liraglutide and placebo. With liraglutide 1.2 mg, shorter diabetes duration was associated with a significantly greater, but clinically non‐relevant, difference in glycated haemoglobin (HbA1c) reduction (p < 0.05), i.e. a 0.18% (1.96 mmol/mol) reduction in HbA1c per 10 years shorter diabetes duration. With liraglutide 1.8 mg, shorter diabetes duration was associated with a small but statistically significant trend for greater fasting plasma glucose (FPG) reduction (p < 0.05), i.e. a 0.38 mmol/l reduction in FPG per 10 years shorter diabetes duration. Neither the liraglutide 1.8 mg nor placebo results showed a significant association between HbA1c and diabetes duration and neither the liraglutide 1.2 mg nor placebo results showed a significant association between FPG and diabetes duration. Likewise, neither liraglutide nor placebo showed a significant association between change in weight and diabetes duration. These results suggest diabetes duration has a clinically negligible effect on achievable blood glucose control and weight outcomes with liraglutide and placebo in patients with T2D. PMID:26679282

  17. Using Serum Advanced Glycation End Products-Peptides to Improve the Efficacy of World Health Organization Fasting Plasma Glucose Criterion in Screening for Diabetes in High-Risk Chinese Subjects.

    PubMed

    Sun, Zilin; He, Jiajia; Qiu, Shanhu; Lei, Chenghao; Zhou, Yi; Xie, Zuolin; Zhang, Lin; Wang, Yanping; Jin, Hui

    2015-01-01

    The efficacy of using fasting plasma glucose (FPG) alone as a preferred screening test for diabetes has been questioned. This study was aimed to evaluate whether the use of serum advanced glycation end products-peptides (sAGEP) would help to improve the efficacy of FPG in diabetes screening among high-risk Chinese subjects with FPG <7.0 mmol/L. FPG, 2-h plasma glucose (2h-PG), serum glycated haemoglobin A1c (HbA1c), and sAGEP were measured in 857 Chinese subjects with risk factors for diabetes. The areas under receiver operating characteristic (ROC) curves generated by logistic regression models were assessed and compared to find the best model for diabetes screening in subjects with FPG <7.0 mmol/L. The optimal critical line was determined by maximizing the sum of sensitivity and specificity. Among the enrolled subjects, 730 of them had FPG <7.0 mmol/L, and only 41.7% new diabetes cases were identified using the 1999 World Health Organization FPG criterion (FPG ≥7.0 mmol/L). The area under ROC curves generated by the model on FPG-sAGEP was the largest compared with that on FPG-HbA1c, sAGEP, HbA1c or FPG in subjects with FPG <7.0 mmol/L. By maximizing the sum of sensitivity and specificity, the optimal critical line was determined as 0.69×FPG + 0.14×sAGEP = 7.03, giving a critical sensitivity of 91.2% in detecting 2h-PG ≥11.1 mmol/L, which was significantly higher than that of FPG-HbA1c or HbA1c. The model on FPG-sAGEP improves the efficacy of using FPG alone in detecting diabetes among high-risk Chinese subjects with FPG <7.0 mmol/L, and is worth being promoted for future diabetes screening.

  18. Association of HbA1c and cardiovascular and renal disease in an adult Mediterranean population

    PubMed Central

    2013-01-01

    Background Increasing evidence suggests a mechanistic link between the glycemic environment and renal and cardiovascular events, even below the threshold for diabetes. We aimed to assess the association between HbA1c and chronic kidney disease (CKD) and cardiovascular disease (CVD). Methods A cross-sectional study involving a random representative sample of 2270 adults from southern Spain (Malaga) was undertaken. We measured HbA1c, serum creatinine and albuminuria in fasting blood and urine samples. Results Individuals without diabetes in the upper HbA1c tertile had an unfavorable cardiovascular and renal profile and shared certain clinical characteristics with the patients with diabetes. Overall, a higher HbA1c concentration was strongly associated with CKD or CVD after adjustment for traditional risk factors. The patients with known diabetes had a 2-fold higher odds of CKD or CVD. However, when both parameters were introduced in the same model, the HbA1c concentration was only significantly associated with clinical endpoints (OR: 1.4, 95% CI, 1.1-1.6, P = 0.002). An increase in HbA1c of one percentage point was associated with a 30% to 40% increase in the rate of CKD or CVD. This relationship was apparent in persons with and without known diabetes. ROC curves illustrated that a HbA1c of 37 mmol/mol (5.5%) was the optimal value in terms of sensitivity and specificity for predicting endpoints in this population. Conclusion HbA1c levels were associated with a higher prevalence of CKD and CVD cross-sectionally, regardless of diabetes status. These data support the value of HbA1c as a marker of cardiovascular and renal disease in the general population. PMID:23865389

  19. Professional flash continuous glucose monitoring as a supplement to A1C in primary care.

    PubMed

    Hirsch, Irl B

    2017-09-25

    Decreasing glycated hemoglobin (A1C) is the primary goal of current diabetes management due to intervention studies in type 1 and type 2 diabetes associating levels <7.0% (53 mmol/mol) with lower complication risk. Strategic self-monitoring of blood glucose (SMBG) is also recommended to achieve greater time in range, with fewer extremes of hypo- or hyperglycemia. Unlike A1C, SMBG can distinguish among fasting, prandial, and postprandial hyperglycemia; uncover glycemic variability, including potentially dangerous hypoglycemia; and provide feedback to patients about the effects of behavior and medication on glycemic control. However, it has the drawback of capturing only static glucose readings and users are often dependent on time-pressed clinicians to interpret numerous data points. A novel flash continuous glucose monitoring (FCGM) device used for a single 2-week period with a readily interpretable data report know as the ambulatory glucose profile (AGP) has the potential to overcome limitations of conventional technologies, with less cost and greater convenience. This review summarizes the rationale for using intermittent FCGM as a supplement to A1C in primary care, and provides a stepwise approach to interpreting the AGP visual display for efficient individualized therapy.

  20. A1C Is Associated With Intima-Media Thickness in Individuals With Normal Glucose Tolerance

    PubMed Central

    Bobbert, Thomas; Mai, Knut; Fischer-Rosinský, Antje; Pfeiffer, Andreas F.H.; Spranger, Joachim

    2010-01-01

    OBJECTIVE One-hour glucose during an oral glucose tolerance test (OGTT) was recently proposed as a valuable marker to identify individuals with normal glucose tolerance (NGT) and increased intima-media thickness (IMT). However, central markers of glycemic control were not considered. The aim of this study was to identify which marker of glycemic control is most informative with respect to the variation of IMT in individuals with NGT. RESEARCH DESIGN AND METHODS Cardiovascular risk factors, glucose metabolism (OGTT), and IMT were determined in 1,219 nondiabetic individuals (851 women, 368 men; 558 with NGT). RESULTS One-hour glucose and A1C levels were significantly correlated to carotid IMT in individuals with NGT, whereas fasting and 2-h glucose levels were not informative. Only A1C was associated with IMT independent of other confounders, whereas 1-h glucose was not informative. Comparable results were found in the total cohort, including individuals with IFG and IGT. CONCLUSIONS A1C was the most informative glycemic marker with respect to IMT in individuals with NGT. PMID:19808917

  1. A1C is associated with intima-media thickness in individuals with normal glucose tolerance.

    PubMed

    Bobbert, Thomas; Mai, Knut; Fischer-Rosinsky, Antje; Pfeiffer, Andreas F H; Spranger, Joachim

    2010-01-01

    One-hour glucose during an oral glucose tolerance test (OGTT) was recently proposed as a valuable marker to identify individuals with normal glucose tolerance (NGT) and increased intima-media thickness (IMT). However, central markers of glycemic control were not considered. The aim of this study was to identify which marker of glycemic control is most informative with respect to the variation of IMT in individuals with NGT. Cardiovascular risk factors, glucose metabolism (OGTT), and IMT were determined in 1,219 nondiabetic individuals (851 women, 368 men; 558 with NGT). One-hour glucose and A1C levels were significantly correlated to carotid IMT in individuals with NGT, whereas fasting and 2-h glucose levels were not informative. Only A1C was associated with IMT independent of other confounders, whereas 1-h glucose was not informative. Comparable results were found in the total cohort, including individuals with IFG and IGT. A1C was the most informative glycemic marker with respect to IMT in individuals with NGT.

  2. Relationships between fasting plasma insulin, anthropometrics, and metabolic parameters in a very old healthy population. Associazione Medica Sabin.

    PubMed

    Carantoni, M; Zuliani, G; Volpato, S; Palmieri, E; Mezzetti, A; Vergnani, L; Fellin, R

    1998-05-01

    Several studies have shown that insulin resistance and hyperinsulinemia are associated with many metabolic disorders predisposing to coronary heart disease (CHD). This syndrome has been termed syndrome X. However, it is not completely known whether these relationships are still present in the elderly, or whether other factors such as age, gender, and body fat distribution modulate them. Therefore, we investigated the relationship between fasting plasma insulin, total and regional adiposity, fasting plasma glucose and lipids, plasma plasminogen activator inhibitor-1 (PAI-1), fibrinogen, and coagulation factor VII in a sample of 100 healthy free-living octogenarians-nonagenarians (52 men and 48 women) who were disability-free according to the Katz index. By univariate analysis, fasting insulin correlated positively with all anthropometric measures except the waist to hip ratio (WHR) in women. There was a positive correlation between fasting insulin and fasting glucose (r=.40, P < .01), plasma triglycerides ([TGs] r=.21, P < .05), and PAI-1 levels (r=.33, P < .01), whereas a negative relation was found with high-density lipoprotein cholesterol (HDL-C) and apolipoprotein, A-I (apo A-I) levels (r=-.22 and =-.24, respectively, P < .05). These relationships were weaker and less significant in women. In pooled data, stepwise multiple regression analysis showed an independent relationship of both the body mass index (BMI) and fasting insulin level with TGs (R2=.14), while gender and fasting insulin were the best predictors of HDL-C variance (R2=.17). Furthermore, fasting insulin was the only variable independently related to PAI-1 (R2=.12). Our findings support the existence of a metabolic syndrome even in very old age by showing that high insulin levels are related to various metabolic and hemostatic disorders.

  3. MHD study of three-dimensional spontaneous fast magnetic reconnection for cross-tail plasma inflows in magnetotail

    NASA Astrophysics Data System (ADS)

    Shimizu, Tohru; Torii, Hiroyuki; Kondoh, Koji

    2016-05-01

    The 3D instability of spontaneous fast magnetic reconnection process is studied with magnetohydrodynamic simulations, where 2D model of the spontaneous fast magnetic reconnection process is destabilized in three dimensions. In this 3D instability, the spontaneous fast magnetic reconnection process is intermittently and randomly caused in 3D. In this paper, as a typical event study, a single 3D fast magnetic reconnection process often observed in the 3D instability is studied in detail. As a remarkable feature, it is reported that, when the 3D fast magnetic reconnection process starts, plasma inflows along the magnetic neutral line are observed, which are driven by plasma static pressure gradient along the neutral line. The plasma inflow speed reaches about 15 in the upstream field region. The unmagnetized inflow tends to prevent the 3D reconnection process; nevertheless, the 3D reconnection process is intermittently maintained. Such high-speed plasma inflows along the neutral line may be observed as dawn-dusk flows in space satellite observations of magnetotail's bursty bulk flows.

  4. Investigating plasma viscosity with fast framing photography in the ZaP-HD Flow Z-Pinch experiment

    NASA Astrophysics Data System (ADS)

    Weed, Jonathan Robert

    The ZaP-HD Flow Z-Pinch experiment investigates the stabilizing effect of sheared axial flows while scaling toward a high-energy-density laboratory plasma (HEDLP > 100 GPa). Stabilizing flows may persist until viscous forces dissipate a sheared flow profile. Plasma viscosity is investigated by measuring scale lengths in turbulence intentionally introduced in the plasma flow. A boron nitride turbulence-tripping probe excites small scale length turbulence in the plasma, and fast framing optical cameras are used to study time-evolved turbulent structures and viscous dissipation. A Hadland Imacon 790 fast framing camera is modified for digital image capture, but features insufficient resolution to study turbulent structures. A Shimadzu HPV-X camera captures the evolution of turbulent structures with great spatial and temporal resolution, but is unable to resolve the anticipated Kolmogorov scale in ZaP-HD as predicted by a simplified pinch model.

  5. Stable isotope models of sugar intake using hair, red blood cells, and plasma, but not fasting plasma glucose, predict sugar intake in a Yup'ik study population.

    PubMed

    Nash, Sarah H; Kristal, Alan R; Hopkins, Scarlett E; Boyer, Bert B; O'Brien, Diane M

    2014-01-01

    Objectively measured biomarkers will help to resolve the controversial role of sugar intake in the etiology of obesity and related chronic diseases. We recently validated a dual-isotope model based on RBC carbon (δ(13)C) and nitrogen (δ(15)N) isotope ratios that explained a large percentage of the variation in self-reported sugar intake in a Yup'ik study population. Stable isotope ratios can easily be measured from many tissues, including RBCs, plasma, and hair; however, it is not known how isotopic models of sugar intake compare among these tissues. Here, we compared self-reported sugar intake with models based on RBCs, plasma, and hair δ(13)C and δ(15)N in Yup'ik people. We also evaluated associations of sugar intake with fasting plasma glucose δ(13)C. Finally, we evaluated relations between δ(13)C and δ(15)N values in hair, plasma, RBCs, and fasting plasma glucose to allow comparison of isotope ratios across tissue types. Models using RBCs, plasma, or hair isotope ratios explained similar amounts of variance in total sugar, added sugar, and sugar-sweetened beverage intake (∼53%, 48%, and 34%, respectively); however, the association with δ(13)C was strongest for models based on RBCs and hair. There were no associations with fasting plasma glucose δ(13)C (R(2) = 0.03). The δ(13)C and δ(15)N values of RBCs, plasma, and hair showed strong, positive correlations; the slopes of these relations did not differ from 1. This study demonstrates that RBC, plasma, and hair isotope ratios predict sugar intake and provides data that will allow comparison of studies using different sample types.

  6. Impact of demographics and disease progression on the relationship between glucose and HbA1c.

    PubMed

    Claussen, Anetta; Møller, Jonas B; Kristensen, Niels R; Klim, Søren; Kjellsson, Maria C; Ingwersen, Steen H; Karlsson, Mats O

    2017-06-15

    Several studies have shown that the relationship between mean plasma glucose (MPG) and glycated haemoglobin (HbA1c) may vary across populations. Especially race has previously been referred to shift the regression line that links MPG to HbA1c at steady-state (Herman & Cohen, 2012). To assess the influence of demographic and disease progression-related covariates on the intercept of the estimated linear MPG-HbA1c relationship in a longitudinal model. Longitudinal patient-level data from 16 late-phase trials in type 2 diabetes with a total of 8927 subjects was used to study covariates for the relationship between MPG and HbA1c. The analysed covariates included age group, BMI, gender, race, diabetes duration, and pre-trial treatment. Differences between trials were taken into account by estimating a trial-to-trial variability component. Participants included 47% females and 20% above 65years. 77% were Caucasian, 9% were Asian, 5% were Black and the remaining 9% were analysed together as other races. Estimates of the change in the intercept of the MPG-HbA1c relationship due to the mentioned covariates were determined using a longitudinal model. The analysis showed that pre-trial treatment with insulin had the most pronounced impact associated with a 0.34% higher HbA1c at a given MPG. However, race, diabetes duration and age group also had an impact on the MPG-HbA1c relationship. Our analysis shows that the relationship between MPG and HbA1c is relatively insensitive to covariates, but shows small variations across populations, which may be relevant to take into account when predicting HbA1c response based on MPG measurements in clinical trials. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Fast and accurate quantum molecular dynamics of dense plasmas across temperature regimes

    DOE PAGES

    Sjostrom, Travis; Daligault, Jerome

    2014-10-10

    Here, we develop and implement a new quantum molecular dynamics approximation that allows fast and accurate simulations of dense plasmas from cold to hot conditions. The method is based on a carefully designed orbital-free implementation of density functional theory. The results for hydrogen and aluminum are in very good agreement with Kohn-Sham (orbital-based) density functional theory and path integral Monte Carlo calculations for microscopic features such as the electron density as well as the equation of state. The present approach does not scale with temperature and hence extends to higher temperatures than is accessible in the Kohn-Sham method and lowermore » temperatures than is accessible by path integral Monte Carlo calculations, while being significantly less computationally expensive than either of those two methods.« less

  8. Sound produced by a fast parton in the quark-gluon plasma is a "crescendo".

    PubMed

    Neufeld, R B; Müller, B

    2009-07-24

    We calculate the total energy deposited into the medium per unit length by fast partons traversing a quark-gluon plasma. The medium excitation due to collisions is taken to be given by the well-known expression for the collisional drag force. The radiative energy loss of the parton contributes to the energy deposition because each radiated gluon acts as an additional source of collisional energy loss in the medium. We derive a differential equation which governs how the spectrum of radiated gluons is modified when this energy loss is taken into account. This modified spectrum is then used to calculate the additional energy deposition due to the interactions of radiated gluons with the medium. Numerical results are presented for the medium response for the case of two energetic back-to-back partons created in a hard interaction.

  9. Sound Produced by a Fast Parton in the Quark-Gluon Plasma is a ``Crescendo''

    NASA Astrophysics Data System (ADS)

    Neufeld, R. B.; Müller, B.

    2009-07-01

    We calculate the total energy deposited into the medium per unit length by fast partons traversing a quark-gluon plasma. The medium excitation due to collisions is taken to be given by the well-known expression for the collisional drag force. The radiative energy loss of the parton contributes to the energy deposition because each radiated gluon acts as an additional source of collisional energy loss in the medium. We derive a differential equation which governs how the spectrum of radiated gluons is modified when this energy loss is taken into account. This modified spectrum is then used to calculate the additional energy deposition due to the interactions of radiated gluons with the medium. Numerical results are presented for the medium response for the case of two energetic back-to-back partons created in a hard interaction.

  10. Fast differentiation of SIRS and sepsis from blood plasma of ICU patients using Raman spectroscopy.

    PubMed

    Neugebauer, Ute; Trenkmann, Sabine; Bocklitz, Thomas; Schmerler, Diana; Kiehntopf, Michael; Popp, Jürgen

    2014-04-01

    Currently, there is no biomarker that can reliable distinguish between infectious and non-infectious systemic inflammatory response syndrome (SIRS). However, such a biomarker would be of utmost importance for early identification and stratification of patients at risk to initiate timely and appropriate antibiotic treatment. Within this proof of principle study, the high potential of Raman spectroscopy for the fast differentiation of non-infectious SIRS and sepsis is demonstrated. Blood plasma collected from 70 patients from the intensive care unit (31 patients with sepsis and 39 patients classified with SIRS without infection) was analyzed by means of Raman spectroscopy. A PCA-LDA based classification model was trained with Raman spectra from test samples and yielded for sepsis a sensitivity of 1.0 and specificity of 0.82. These results have been confirmed with an independent dataset (prediction accuracy 80%).

  11. Fast and accurate quantum molecular dynamics of dense plasmas across temperature regimes

    SciTech Connect

    Sjostrom, Travis; Daligault, Jerome

    2014-10-10

    Here, we develop and implement a new quantum molecular dynamics approximation that allows fast and accurate simulations of dense plasmas from cold to hot conditions. The method is based on a carefully designed orbital-free implementation of density functional theory. The results for hydrogen and aluminum are in very good agreement with Kohn-Sham (orbital-based) density functional theory and path integral Monte Carlo calculations for microscopic features such as the electron density as well as the equation of state. The present approach does not scale with temperature and hence extends to higher temperatures than is accessible in the Kohn-Sham method and lower temperatures than is accessible by path integral Monte Carlo calculations, while being significantly less computationally expensive than either of those two methods.

  12. Latinas with Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

    PubMed Central

    Strauss, Shiela M.; Vega, Marlena; Clayton-Jeter, Helene D.; Deren, Sherry; Rosedale, Mary; Rindskopf, David M.

    2017-01-01

    For Latinas with fasting plasma glucose (FPG) levels in the pre-diabetes and diabetes ranges, early detection can support steps to optimize their health. Data collected in 2009–2010 indicate that 36.7% of Latinas in the U.S. had elevated FPG levels. Latinas with elevated FPG who were unaware of their diabetes status were significantly less likely than non-Hispanic White and non-Hispanic Black women to have seen a health care provider in the past year (75.8%, 92.9%, and 90.2%, respectively; p = .018). With almost 1 million Latinas in the U.S. with elevated FPG unaware of their diabetes risk, and less likely than other at-risk women to see health care providers, there is an urgent need to establish alternate sites of opportunity for their diabetes screening. PMID:24865436

  13. ISEE-1 and ISEE-2 fast plasma experiment and the ISEE-1 solar wind experiment

    NASA Technical Reports Server (NTRS)

    Bame, S. J.; Asbridge, J. R.; Felthauser, H. E.; Glore, J. P.; Paschmann, G.; Hemmerich, P.; Lehmann, K.; Rosenbauer, H.

    1978-01-01

    Identical fast plasma experiment (FPE) systems were placed on the ISEE-1 and ISEE-2 spacecraft. The FPE consists of three high efficiency 90 deg spherical section electrostatic analyzers using large secondary emitters and discrete dynode multipliers to detect analyzed particles. Two of them, viewing in opposite directions, produce complete 2D velocity distribution measurements of both protons and electrons every spacecraft revolution. A third FPE analyzer with a divided emitter measures 3D distributions at a slower rate. ISEE-1 also carries a solar-wind experiment (SWE) to measure solar-wind ions with high resolution. The SWE is composed of two 150 deg spherical section analyzers using the same set of plates. The two acceptance fans are tilted with respect to each other so that 3D characteristics of the ion distributions can be derived.

  14. Time dependence of fast electron beam divergence in ultraintense laser-plasma interactions.

    PubMed

    Akli, K U; Storm, M J; McMahon, M; Jiang, S; Ovchinnikov, V; Schumacher, D W; Freeman, R R; Dyer, G; Ditmire, T

    2012-08-01

    We report on the measurement and computer simulation of the divergence of fast electrons generated in an ultraintense laser-plasma interaction (LPI) and the subsequent propagation in a nonrefluxing target. We show that, at Iλ(2) of 10(20) Wcm(-2)μm(2), the time-integrated electron beam full divergence angle is (60±5)°. However, our time-resolved 2D particle-in-cell simulations show the initial beam divergence to be much smaller (≤30°). Our simulations show the divergence to monotonically increase with time, reaching a final value of (68±7)° after the passage of the laser pulse, consistent with the experimental time-integrated measurements. By revealing the time-dependent nature of the LPI, we find that a substantial fraction of the laser energy (~7%) is transported up to 100 μm with a divergence of 32°.

  15. The efficiency of fast wave current drive for a weakly relativistic plasma

    NASA Astrophysics Data System (ADS)

    Chiu, S. C.; Lin-Liu, Y. R.; Karney, C. F. F.

    1994-10-01

    Current drive by fast waves (FWCD) is an important candidate for steady-state operation of tokamaks. Major experiments using this scheme are being carried out on DIII-D. There has been considerable study of the theoretical efficiency of FWCD. In Refs. 4 and 5, the nonrelativistic efficiency of FWCD at arbitrary frequencies was studied. For DIII-D parameters, the results can be considerably different from the Landau and Alfvén limits. At the high temperatures of reactors and DIII-D upgrade, relativistic effects become important. In this paper, the relativistic FWCD efficiency for arbitrary frequencies is studied. Assuming that the plasma is weakly relativistic, i.e., Te/mc2 is small, an analytic expression for FWCD is obtained for high resonant energies (uph/uTe≫1). Comparisons with the results from a numerical code ADJ and the nonrelativistic results shall be made and analytical fits in the whole range of velocities shall be presented.

  16. Method for determining fast-alpha-particle confinement in tokamak plasmas using resonant nuclear reactors

    SciTech Connect

    Cecil, F.E.; Zweben, S.J.; Medley, S.S.

    1986-03-01

    The resonant nuclear reactions D(..cap alpha..,..gamma..)/sup 6/Li, /sup 6/Li(..cap alpha..,..gamma..)/sup 10/B, and /sup 7/Li(..cap alpha..,..gamma..)/sup 11/B are examined as diagnostics of fast-alpha-particle confinement in tokamak plasmas. Gamma rays from these resonant reactions with energies from 2.1 MeV to 9.2 MeV may be used to infer the alpha-particle population between energies of 0.4 MeV and 2.6 MeV. The ratio of these alpha-burnup reactions to the reactions T(D,..gamma..)/sup 5/He and /sup 3/He(D,..gamma..)/sup 5/Li provides a technique for the measurement of alpha confinement.

  17. The Geometric Factor of Electrostatic Plasma Analyzers: A Case Study from the Fast Plasma Investigation for the Magnetospheric Multiscale mission

    NASA Technical Reports Server (NTRS)

    Collinson, Glyn A.; Dorelli, John Charles; Avanov, Leon A.; Lewis, Gethyn R.; Moore, Thomas E.; Pollock, Craig; Kataria, Dhiren O.; Bedington, Robert; Arridge, Chris S.; Chornay, Dennis J.; Gliese,Ulrik; Mariano, Al.; Barrie, Alexander C; Tucker, Corey; Owen, Christopher J.; Walsh, Andrew P.; Shappirio, Mark D.; Adrian, Mark L.

    2012-01-01

    We report our findings comparing the geometric factor (GF) as determined from simulations and laboratory measurements of the new Dual Electron Spectrometer (DES) being developed at NASA Goddard Space Flight Center as part of the Fast Plasma Investigation on NASA's Magnetospheric Multiscale mission. Particle simulations are increasingly playing an essential role in the design and calibration of electrostatic analyzers, facilitating the identification and mitigation of the many sources of systematic error present in laboratory calibration. While equations for laboratory measurement of the Geometric Factpr (GF) have been described in the literature, these are not directly applicable to simulation since the two are carried out under substantially different assumptions and conditions, making direct comparison very challenging. Starting from first principles, we derive generalized expressions for the determination of the GF in simulation and laboratory, and discuss how we have estimated errors in both cases. Finally, we apply these equations to the new DES instrument and show that the results agree within errors. Thus we show that the techniques presented here will produce consistent results between laboratory and simulation, and present the first description of the performance of the new DES instrument in the literature.

  18. Dual Ion Spectrometers and Their Calibration for the Fast Plasma Investigation on NASA's Magnetospheric Multiscale Mission

    NASA Technical Reports Server (NTRS)

    Coffey, V. N.; Chandler, M. O.

    2017-01-01

    The scientific target of NASA's Magnetospheric Multiscale (MMS) mission is to study the fundamentally important phenomenon of magnetic reconnection. Theoretical models of this process predict a small size, on the order of hundred kilometers, for the ion diffusion region where ions are demagnetized at the dayside magnetopause. This region may typically sweep over the spacecraft at relatively high speeds of 50 km/s, requiring the fast plasma investigation (FPI) instrument suite to have an extremely high time resolution for measurements of the 3D particle distribution functions. As part of the FPI on MMS, the 16 dual ion spectrometers (DIS) will provide fast (150 ms) 3D ion velocity distributions, from 10 to 30,000 eV/q, by combining the measurements from four dual spectrometers on each of four MMS spacecraft. For any multispacecraft mission, the response uniformity among the spectrometer set assumes an enhanced importance. Due to these demanding instrument requirements and the effort of calibrating more than 32 sensors (16 × 2) within a tight schedule, a highly systematic and precise calibration was required for measurement repeatability. To illustrate how this challenge was met, a brief overview of the FPI DIS was presented with a detailed discussion of the calibration method of approach and implementation. Finally, a discussion of DIS performance results, their unit-to-unit variation, and the lessons learned from this calibration effort are presented.

  19. Understanding ion cyclotron harmonic fast wave heating losses in the scrape off layer of tokamak plasmas

    SciTech Connect

    Bertelli, N; Jaeger, E F; Hosea, J C; Phillips, C K; Berry, L; Bonoli, P T; Gerhardt, S P; Green, D; LeBlanc, B; Perkins, R J; Ryan, P M; Taylor, G; Valeo, E J; Wilso, J R; Wright, J C

    2014-07-01

    Fast waves at harmonics of the ion cyclotron frequency, which have been used successfully on National Spherical Torus Experiment (NSTX), will also play an important role in ITER and are a promising candidate for the Fusion Nuclear Science Facility (FNSF) designs based on spherical torus (ST). Experimental studies of high harmonic fast waves (HHFW) heating on the NSTX have demonstrated that substantial HHFW power loss occurs along the open field lines in the scrape-off layer (SOL), but the mechanism behind the loss is not yet understood. The full wave RF code AORSA, in which the edge plasma beyond the last closed flux surface (LCFS) is included in the solution domain, is applied to specific NSTX discharges in order to predict the effects and possible causes of this power loss. In the studies discussed here, a collisional damping parameter has been implemented in AORSA as a proxy to represent the real, and most likely nonlinear, damping processes. A prediction for the NSTX Upgrade (NSTX-U) experiment, that will begin operation next year, is also presented, indicating a favorable condition for the experiment due to a wider evanescent region in edge density.*Research supported by the U.S. DOE under Contract No. DE-AC02-09CH11466 with Princeton University.

  20. Fast synthesis and consolidation of porous FeAl by pressureless Spark Plasma Sintering

    NASA Astrophysics Data System (ADS)

    Dudina, D. V.; Brester, A. E.; Anisimov, A. G.; Bokhonov, B. B.; Legan, M. A.; Novoselov, A. N.; Skovorodin, I. N.; Uvarov, N. F.

    2017-07-01

    We report one-step fast synthesis and consolidation of iron aluminide FeAl of high open porosity by pressureless reactive Spark Plasma Sintering (SPS). The starting material of the Fe-40at.%Al composition was a mixture of an iron powder with an average particle diameter of 4 μm and an aluminum powder with an average particle diameter of 6 μm. The rationale behind the choice of the SPS as a processing technique and fine and comparable sizes of the two reactants for the synthesis of high-open porosity FeAl was realization of fast full chemical conversion of Fe and Al into single-phase FeAl reducing the time available for the compact shrinkage. According to the XRD phase analysis, single-phase FeAl compacts formed after SPS at 800 and 900°C. These compacts had open porosities of 41 and 46%, respectively. The transverse rupture strength of the compacts sintered at 700-900°C was found to change little with the sintering temperature in the selected range.

  1. Investigation of interaction between fast ions and tearing modes in MST plasmas using full orbit tracing

    NASA Astrophysics Data System (ADS)

    Kim, Jungha; Anderson, Jay; Capecchi, William; Bonofiglo, Phillip; Sears, Stephanie; Tsidulko, Yuri

    2015-11-01

    Under proper conditions, global reconnection events generate an anisotropic runaway ion distribution in MST plasmas. Full orbit tracing with time-dependent fluctuating fields, calculated by the nonlinear resistive MHD code DEBS, is used to inform a refined model of ion heating to explain this phenomenon, where tearing modes and ions interact on two distinct scales. There is anisotropic heating of thermal ions (T⊥>T∥), likely through a stochastic heating mechanism that requires high diffusivity and a tearing mode induced radial electric field with correlation length of a few cm. This process does not, however, continuously energize ions into the runaway regime. At sufficient energy, the ion guiding center deviates from the background magnetic field, which reduces the effective diffusivity to classical levels even in a stochastic magnetic field. These ``fast'' ions are accelerated by a parallel electric field (length scale of meters) induced by the equilibrium change accompanying tearing modes. This process relies on multiple global tearing modes; here we focus on a single tearing mode. This is compared to an experimental state where a transition to a single, dominant tearing mode is observed to accelerate fast ions and alter their confinement properties. Work supported by US DOE.

  2. Fast XUV 16 × 16 Array Hybrid Module for Plasma Imaging Applications

    NASA Astrophysics Data System (ADS)

    Alekseyev, Andrey G.; Belov, Alexandr M.; Zabrodsky, Vladimir V.; Sukhanov, Vladislav L.; Sorokin, Andrey A.; Peterson, Byron J.

    A hybrid matrix array detector is developed for ultra-fast plasma imaging applications with the use of XUV Si photodiodes (SPD diodes) manufactured according to Ioffe Institute original technology. A basic 16 × 16 hybrid module is comprised of eight stacked sub-modules with 2 × 16 linear SPD diode arrays combined with a circuit board with a 32-channel preamplifier and four 8-channel fast multiplexers. Array front size is 31 × 31 mm2 with ˜25 % sensitive area. The module has a “zero-edge” design providing an option of stacking into the larger arrays, if necessary. The data acquisition system (DAS) consists of eight 4-channel synchronous 12-bit ADC modules with 40 MS/s upper sampling rate, thus providing less than 1 μs minimum time for the complete read-out of the array. Each channel has a 64 MB on-board memory limiting the duration of the acquired period to 0.8 sec at the maximum sampling rate. A common TCP/IP Ethernet protocol is used for the data transmission into the main PC operating as a DAS control console, data preview and storage computer.

  3. Nonlinear effects associated with fast magnetosonic waves and turbulent magnetic amplification in laboratory and astrophysical plasmas

    NASA Astrophysics Data System (ADS)

    Tiwary, PremPyari; Sharma, Swati; Sharma, Prachi; Singh, Ram Kishor; Uma, R.; Sharma, R. P.

    2016-12-01

    This paper presents the spatio-temporal evolution of magnetic field due to the nonlinear coupling between fast magnetosonic wave (FMSW) and low frequency slow Alfvén wave (SAW). The dynamical equations of finite frequency FMSW and SAW in the presence of ponderomotive force of FMSW (pump wave) has been presented. Numerical simulation has been carried out for the nonlinear coupled equations of finite frequency FMSW and SAW. A systematic scan of the nonlinear behavior/evolution of the pump FMSW has been done for one of the set of parameters chosen in this paper, using the coupled dynamical equations. Filamentation of fast magnetosonic wave has been considered to be responsible for the magnetic turbulence during the laser plasma interaction. The results show that the formation and growth of localized structures depend on the background magnetic field but the order of amplification does not get affected by the magnitude of the background magnetic field. In this paper, we have shown the relevance of our model for two different parameters used in laboratory and astrophysical phenomenon. We have used one set of parameters pertaining to experimental observations in the study of fast ignition of laser fusion and hence studied the turbulent structures in stellar environment. The other set corresponds to the study of magnetic field amplification in the clumpy medium surrounding the supernova remnant Cassiopeia A. The results indicate considerable randomness in the spatial structure of the magnetic field profile in both the cases and gives a sufficient indication of turbulence. The turbulent spectra have been studied and the break point has been found around k which is consistent with the observations in both the cases. The nonlinear wave-wave interaction presented in this paper may be important in understanding the turbulence in the laboratory as well as the astrophysical phenomenon.

  4. Implications of iron deficiency/anemia on the classification of diabetes using HbA1c

    PubMed Central

    Attard, S M; Herring, A H; Wang, H; Howard, A-G; Thompson, A L; Adair, L S; Mayer-Davis, E J; Gordon-Larsen, P

    2015-01-01

    Background/Objectives: Nonglycemic factors like iron deficiency (ID) or anemia may interfere with classification of diabetes and prediabetes using hemoglobin A1c (HbA1c). However, few population-based studies of diabetes in areas with endemic ID/anemia have been conducted. We aimed to determine how mutually exclusive categories of ID alone, anemia alone and iron-deficiency anemia (IDA) were each associated with prediabetes and diabetes prevalence using fasting blood glucose (FBG) versus HbA1c in a population-based study of adults with endemic ID/anemia. Subjects/Methods: We used data from the China Health and Nutrition Survey, a longitudinal, population-based study across 228 communities within nine provinces of China. This analysis included 7308 adults seen in the 2009 survey aged 18–75 years. We used descriptive and covariate-adjusted models to examine relative risk of prediabetes and diabetes using FBG alone, HbA1c alone, HbA1c and FBG, or neither (normoglycemia) by anemia alone, ID alone, IDA or normal iron/hemoglobin. Results: Approximately 65% of individuals with diabetes in our sample were concordantly classified with diabetes using both FBG and HbA1c, while 35% had a discordant diabetes classification: they were classified using either FBG or HbA1c, but not both. Fewer participants with ID alone versus normal iron/hemoglobin were classified with diabetes using HbA1c only. From covariate-adjusted, multinomial regression analyses, the adjusted prevalence of prediabetes using HbA1c only was 22% for men with anemia alone, but 13% for men with normal iron/hemoglobin. In contrast, the predicted prevalence of prediabetes using HbA1c only was 8% for women with ID alone, compared with 13% for women with normal iron/hemoglobin. Conclusions: These findings suggest potential misclassification of diabetes using HbA1c in areas of endemic ID/anemia. Estimating diabetes prevalence using HbA1c may result in under-diagnosis in women with ID and over-diagnosis in men with

  5. Serum Fibroblast Growth Factor 19 Levels Are Decreased in Chinese Subjects With Impaired Fasting Glucose and Inversely Associated With Fasting Plasma Glucose Levels

    PubMed Central

    Fang, Qichen; Li, Huating; Song, Qianqian; Yang, Wenjing; Hou, Xuhong; Ma, Xiaojing; Lu, Junxi; Xu, Aimin; Jia, Weiping

    2013-01-01

    OBJECTIVE Fibroblast growth factor 19 (FGF19), a hormone secreted from the small intestine, has recently been shown to stimulate glycogen synthesis and inhibit gluconeogenesis through insulin-independent pathways. This study investigated the change of FGF19 in prediabetes and newly diagnosed type 2 diabetes mellitus (T2DM) and explored the association of serum FGF19 levels with parameters of glucose metabolism in Chinese subjects. RESEARCH DESIGN AND METHODS Fasting serum FGF19 levels were determined by ELISA in 81 normal glucose tolerance (NGT), 91 impaired fasting glucose (IFG), 93 impaired glucose tolerance (IGT), and 104 newly diagnosed T2DM subjects, and their association with parameters of glucose metabolism was studied. An ordinal logistic regression analysis was performed in subjects with NGT, IFG, and T2DM. Serum FGF19 levels at 2 h after a 75-g oral glucose tolerance test in the different glucose tolerance categories were studied in a subgroup. RESULTS Fasting serum FGF19 levels in subjects with IFG (210 pg/mL [142–327]) (median [interquartile range]) and T2DM (196 pg/mL [137–280]) were significantly lower than those in NGT subjects (289 pg/mL [224–393]) (both P < 0.001). However, no significant difference in fasting FGF19 levels was observed between IGT (246 pg/mL [138–379]) and NGT subjects. Fasting serum FGF19 levels were negatively associated with fasting plasma glucose and independently associated with the deterioration of glucometabolic status from NGT to IFG and T2DM. CONCLUSIONS Fasting serum FGF19 levels were decreased in Chinese subjects with IFG and inversely associated with fasting glucose levels. PMID:23628619

  6. Impact of fasting and postprandial state on plasma carnitine concentrations during aerobic exercise in type 2 diabetes.

    PubMed

    Ferland, A; Broderick, T L; Nadeau, A; Simard, S; Martin, J; Poirier, P

    2007-09-01

    The effects of metabolic states of fasting and post-absorption on plasma concentrations of free carnitine (FC), acylcarnitine (AC) and total carnitine (TC) were compared during submaximal exercise in subjects with type 2 diabetes mellitus. Ten sedentary men (54+/-5 years) treated with oral hypoglycaemic agents were tested on two separate occasions: following an overnight fast and 2 h after a 395-kcal standardised breakfast. Exercise was performed at 60% of [Formula: see text]O(2peak) on a cycle ergometer for 60 min. Blood samples were drawn at rest for baseline values and following 60 min of exercise and 30 min of recovery. Our results show that: (1) baseline levels of TC, FC and AC were similar in fasted and postprandial groups, (2) TC and AC levels were increased during exercise in the fasted group only, (3) FC levels were decreased during exercise in both fasted and postprandial state and (4) the AC/FC ratio increased during exercise in the fasted group. Our results indicate that the metabolic state of the diabetic patient is associated with a different plasma carnitine status. These patterns may reflect differences in energy metabolism associated with fasting and postprandial hyperglycaemia.

  7. A Novel Glycated Hemoglobin A1c-Lowering Traditional Chinese Medicinal Formula, Identified by Translational Medicine Study

    PubMed Central

    Li, Tsai-Chung; Li, Chia-Cheng; Huang, Hui-Chi; Chen, Jaw-Chyun; Ho, Tin-Yun

    2014-01-01

    Diabetes is a chronic metabolic disorder that has a significant impact on the health care system. The reduction of glycated hemoglobin A1c is highly associated with the improvements of glycemic control and diabetic complications. In this study, we identified a traditional Chinese medicinal formula with a HbA1c-lowering potential from clinical evidences. By surveying 9,973 diabetic patients enrolled in Taiwan Diabetic Care Management Program, we found that Chu-Yeh-Shih-Kao-Tang (CYSKT) significantly reduced HbA1c values in diabetic patients. CYSKT reduced the levels of HbA1c and fasting blood glucose, and stimulated the blood glucose clearance in type 2 diabetic mice. CYSKT affected the expressions of genes associated with insulin signaling pathway, increased the amount of phosphorylated insulin receptor in cells and tissues, and stimulated the translocation of glucose transporter 4. Moreover, CYSKT affected the expressions of genes related to diabetic complications, improved the levels of renal function indexes, and increased the survival rate of diabetic mice. In conclusion, this was a translational medicine study that applied a “bedside-to-bench” approach to identify a novel HbA1c-lowering formula. Our findings suggested that oral administration of CYSKT affected insulin signaling pathway, decreased HbA1c and blood glucose levels, and consequently reduced mortality rate in type 2 diabetic mice. PMID:25133699

  8. Fast valve and nozzle for gas-puff operation of dense plasma focus

    NASA Astrophysics Data System (ADS)

    Milanese, María M.; Pouzo, Jorge O.; Cortázar, Osvaldo D.; Moroso, Roberto L.

    2006-03-01

    A simple and reliable valve and nozzle system for a very fast injection of gas has been designed and constructed for its use in gas-puff mode of dense plasma focus experiments. It delivers a very quick rise time: 55μs. The pressure measured in our setup at a distance of 15 mm from the nozzle output is about 0.285 mbar, with a plenum pressure of 3 bars (absolute). The time between the valve aperture and pressure front arrival is 360μs. This result comes up as an average of about a hundred measurements. The energy input is 95 J (270 V on a 3000μF capacitor bank). The typical dimensions of the valve are 52 mm in diameter and 80 mm in length. The entire volume of the valve is, then, very small. The relative low pressure and voltage operation are significant advantages of this development. The performance of the valve satisfactorily fulfills the objectives of gas-puff plasma focus operation.

  9. Partial conservation of the sn-2 position of dietary triglycerides in fasting plasma lipids in humans.

    PubMed

    Zock, P L; Gerritsen, J; Katan, M B

    1996-02-01

    The authors investigated the effect of the position of fatty acids within dietary triglycerides on the composition of plasma lipids. Sixty volunteers consumed two diets of equal fatty acid compositions for 3 weeks each. In the palm oil diet 82% of palmitic acid was attached to the sn-1 and sn-3, and 18% to the sn-2 position of glycerol. In the diet rich in a palm oil analogue, Betapol, these figures were 35% and 65% respectively. Oleic and linoleic acid in palm oil were mainly in the sn-2 position, and in Betapol mainly in the sn-1 and sn-3 position. The proportion of palmitic acid in the 2 position of fasting plasma triglycerides was 10·2 g 100 g-1 on palm oil and 12·3 on Betapol; that of oleic acid was 46·dot 9 vs. 43·6 (P < 0·0001). Overall oleic acid content of triglycerides was 1·4 g 100 g-1 lower on Betapol than on palm oil (P = 0·002). Betapol increased palmitic and palmitoleic acid in cholesteryl esters by 1 g 100 g-1 (P < 0·0001) at the expense of oleic and linoleic acid. The positional configuration of dietary fatty acids has small but consistent effects on lipid metabolism that persist beyond fat absorption and chylomicron clearance.

  10. Differential expression of cholesteryl ester transfer protein in the liver and plasma of fasted and fed transgenic mice.

    PubMed

    MacLean, P S; Vadlamudi, S; Hao, E; Barakat, H A

    2000-06-01

    Because cholesteryl ester transfer protein (CETP) is considered a potential target in the treatment of atherosclerosis, several reports have focused on the regulation of this enzyme, and there is evidence that insulin may be a regulatory factor. The present study examines the differential expression of the human CETP gene between physiologic conditions that are accompanied by low (fasted) and high (fed) insulin levels. CETP expression was examined in plasma and tissues of transgenic mice expressing the human CETP minigene after 12 hours of fasting (n = 20) or ad libitum feeding (n = 20) with normal mouse chow. Plasma cholesteryl ester transfer activity (CETA) was 20% higher in fed than in fasted mice, reflecting higher levels of CETP (P < 0.05). This observation was accompanied by higher liver mRNA in fed mice (100%, P < 0.05), as determined by ribonuclease protection assays, as well as by higher CETA (23%, P < 0.05) and CETP mass (29%, P < 0.05) in the particulate fraction of liver homogenates. These parameters of liver CETP expression correlated well with each other, as well as with plasma CETA. CETP in the liver particulate fraction was found as a doublet (approximately 70 and 65 kDa), which resolved to a single band (approximately 60 kDa) upon deglycosylation. No differences in CETP expression were observed in pooled adipose tissue samples from fed and fasted mice. Insulin and glucose were not related to any plasma or tissue parameter of CETP expression. In summary, the concerted, differential expression of CETP in the liver of fed and fasted transgenic mice appears to contribute to higher plasma CETP levels in fed mice, but the precise role of insulin and glucose in regulating CETP expression under fasted and fed conditions needs to be defined.

  11. Device and method for relativistic electron beam heating of a high-density plasma to drive fast liners

    DOEpatents

    Thode, Lester E.

    1981-01-01

    A device and method for relativistic electron beam heating of a high-density plasma in a small localized region. A relativistic electron beam generator or accelerator produces a high-voltage electron beam which propagates along a vacuum drift tube and is modulated to initiate electron bunching within the beam. The beam is then directed through a low-density gas chamber which provides isolation between the vacuum modulator and the relativistic electron beam target. The relativistic beam is then applied to a high-density target plasma which typically comprises DT, DD, hydrogen boron or similar thermonuclear gas at a density of 10.sup.17 to 10.sup.20 electrons per cubic centimeter. The target gas is ionized prior to application of the electron beam by means of a laser or other preionization source to form a plasma. Utilizing a relativistic electron beam with an individual particle energy exceeding 3 MeV, classical scattering by relativistic electrons passing through isolation foils is negligible. As a result, relativistic streaming instabilities are initiated within the high-density target plasma causing the relativistic electron beam to efficiently deposit its energy and momentum into a small localized region of the high-density plasma target. Fast liners disposed in the high-density target plasma are explosively or ablatively driven to implosion by a heated annular plasma surrounding the fast liner which is generated by an annular relativistic electron beam. An azimuthal magnetic field produced by axial current flow in the annular plasma, causes the energy in the heated annular plasma to converge on the fast liner.

  12. Triglycerides produced in the livers of fasting rabbits are predominantly stored as opposed to secreted into the plasma

    PubMed Central

    Tuvdendorj, Demidmaa; Zhang, Xiao-jun; Chinkes, David L.; Wang, Lijian; Wu, Zhanpin; Rodriguez, Noe A.; Herndon, David N.; Wolfe, Robert R.

    2015-01-01

    Objective The liver plays a central role in regulating fat metabolism; however, it is not clear how the liver distributes the synthesized triglycerides (TGs) to storage and to the plasma. Materials and Methods We have measured the relative distribution of TGs produced in the liver to storage and the plasma by means of U-13C16-palmitate infusion in anesthetized rabbits after an overnight fast. Results The fractional synthesis rates of TGs stored in the liver and secreted into the plasma were not significantly different (Stored vs. Secreted: 31.9 ± 0.8 vs. 27.7 ± 2.6 %•h−1, p > 0.05. However, the absolute synthesis rates of hepatic stored and secreted TGs were 543 ± 158 and 27 ± 7 nmol·kg−1·min−1 respectively, indicating that in fasting rabbits the TGs produced in the liver were predominately stored (92±3%) rather than secreted (8±3%) into the plasma. This large difference was mainly due to the larger pool size of the hepatic TGs which was 21±9-fold that of plasma TGs. Plasma free fatty acids (FFAs) contributed 47±1% of the FA precursor for hepatic TG synthesis, and the remaining 53±1% was derived from hepatic lipid breakdown and possibly plasma TGs depending on the activity of hepatic lipase. Plasma palmitate concentration significantly correlated with hepatic palmitoyl-CoA and TG synthesis. Conclusion In rabbits, after an overnight fast, the absolute synthesis rate of hepatic stored TGs was significantly higher than that of secreted due to the larger pool size of hepatic TGs. The net synthesis rate of TG was approximately half the absolute rate. Plasma FFA is a major determinant of hepatic TG synthesis, and therefore hepatic TG storage. PMID:25682063

  13. Acute fasting in heifers as a model for assessing the relationship between plasma and follicular fluid NEFA concentrations.

    PubMed

    Jorritsma, R; de Groot, M W; Vos, P L A M; Kruip, T A M; Wensing, Th; Noordhuizen, J P T M

    2003-06-01

    It is known from epidemiological studies that negative energy balance in early lactating dairy cows is related to a depression in reproductive performance. Elevated plasma concentrations of non-esterified fatty acids (NEFA) are a typical metabolic characteristic of these animals and are proposed as the possible link. The suggestion is that NEFA might have a direct effect on the ovary, by affecting development of the oocyte or the granulosa cells. However, no data is available concerning the relationship between the concentration of NEFA in follicular fluid and plasma. Therefore, a cross-over study with 10 heifers around 15 months of age was conducted to analyze this relationship and examine the suggested effects of the negative energy balance on follicular growth. Investigation of these effects was performed on fasted heifers. The experimental treatment consisted of feeding hay with a subsequent period of fasting, to induce elevated plasma NEFA concentrations. Sampling of follicular fluid was performed using transvaginal aspiration of follicles, which were standardized using a synchronization protocol. In addition, concentrations of glucose, insulin, NEFA, and estradiol were measured in plasma. Follicular estradiol and progesterone concentrations were also measured to assess the quality of the dominant follicle. Fasting resulted in significantly lower plasma glucose (P=0.0006) and plasma insulin (P<0.0001) concentrations, higher plasma estradiol (P=0.008) and higher NEFA (P<0.001) concentrations, and smaller follicles (P=0.04) with lower estradiol:progesterone (E/P) ratios (P=0.05). Concentrations of NEFA in follicular fluid and plasma were closely related. Given this close relationship, we concluded that the presence of high plasma NEFA concentrations might link energy metabolism in early lactation with fertility.

  14. Lensing of Fast Radio Bursts by Plasma Structures in Host Galaxies

    NASA Astrophysics Data System (ADS)

    Cordes, J. M.; Wasserman, I.; Hessels, J. W. T.; Lazio, T. J. W.; Chatterjee, S.; Wharton, R. S.

    2017-06-01

    The amplitudes of fast radio bursts (FRBs) can be strongly modulated by plasma lenses in their host galaxies, including that of the repeating FRB 121102 at ˜1 Gpc luminosity distance. Caustics require the lens’ dispersion measure depth ({{DM}}{\\ell }), scale size (a), and distance from the source ({d}{sl}) to satisfy {{DM}}{\\ell }{d}{sl}/{a}2≳ 0.65 {{pc}}2 {{au}}-2 {{cm}}-3. Caustics produce strong magnifications (≲ {10}2) on short timescales (≲ hours to days) that appear as narrow spectral peaks (0.1-1 GHz). They also suppress the flux density in longer-duration (˜months) troughs. Multiply imaged bursts will arrive differentially by < 1 μ {{s}} to tens of ms with different apparent dispersion measures, δ {DM}˜ 1 pc cm-3. When differing by less than the burst width, interference effects in dynamic spectra will be seen. Larger arrival time perturbations may mask any underlying periodicity with period ≲ 1 {{s}}. Strong lensing requires sources smaller than {({Fresnel}{scale})}2/a, which includes compact objects such as neutron star magnetospheres but excludes active galactic nuclei. We discuss constraints on densities, magnetic fields, and locations of plasma lenses related to the conditions needed for lensing to occur. Much of the phenomenology of the repeating FRB source FRB 121102 can be accounted for in this picture, which can be tested by obtaining wideband spectra of bursts (from < 1 to 10 GHz and possibly higher) that will also help characterize the plasma environment near FRB sources. A rich variety of phenomena is expected from an ensemble of lenses near an FRB source.

  15. Plasma Dynamics and VUV Emission in a Fast Hollow Cathode Capillary Discharge

    NASA Astrophysics Data System (ADS)

    Soto, Leopoldo; Esaulov, Andrey; Silva, Patricio; Sylvester, Gustavo; Moreno, José; Zambra, Marcelo; Nazarenko, Andrey

    2000-10-01

    Following the world tendency to study the physical mechanisms to obtain laser emission in the VUV to soft X-ray region in table-top device, a fast capillary discharge has been constructed at Comisión Chilena de Energía Nuclear, CCHEN. The device is identical to designed by P. Choi and M. Favre, included an electron beam from the hollow cathode region to provide ionization on the axis (1). The discharge operates in Argon with a cathode pressure of 100-500 mtorr. The system works with differential vacuum, thus the anode pressure is around five times less than the cathode pressure. The radius of capillary is 0.4 mm and the length is 2.5 cm. For an applied voltage of 10 kV a peak current of 5 kA with a rise time of 4.8 ns is obtained (10^12 A/s). MHD simulations in order to study the plasma dynamics an temperature evolution were performed (2). A final radius of 100-200 microns is expected at 8 ns, 2 ns after the peak current with a electron density of 2 x 10^18 cm-3. An electron and ion temperature of 80 and 40 eV respectively are predicted. In addition to usual electrical diagnostics, time-space resolution pinhole images (multipinhole camera with a multichannel plate, four frames, one frame every 4 ns) and time resolved spectra in the region of 10 to 100 nm were performed. Dynamics of plasma compresion was studied from time resolved pinhole images. Detected spectra show that plasma consists of argon ions with ionization potential from ArVI to ArX. This work has been funded by FONDECYT grant 1980187 and a Presidential Chair in Science granted by Chilean government. Authors are thankful to K. Koshelev and P. Antsiferov (ISAN, Troitsk) for fruitful discussions and comments. 1.- P. Choi and M. Favre, Rev. Sci. Instrum. 69, 3118, (1998) 2.- A. Esaulov, P. Sasorov, L. Soto, M. Zambra and J. Sakai, ``Fast Hollow Cathode Capillary Discharge. MHD Simulation''. Submitted for publication.

  16. Effect of the systemic inflammatory response, as provoked by elective orthopaedic surgery, on HbA1c.

    PubMed

    Chadburn, Andrew J; Garman, Elizabeth; Abbas, Raad; Modupe, Anu; Ford, Clare; Thomas, Osmond L; Chugh, Sanjiv; Deshpande, Shreeram; Gama, Rousseau

    2017-01-01

    Background In acutely ill patients with new onset hyperglycaemia, plasma glucose cannot reliably distinguish between stress hyperglycaemia and undiagnosed diabetes mellitus. We, therefore, investigated the diagnostic reliability of glycated haemoglobin (HbA1c) in acute illness by prospectively evaluating the effect of the systemic inflammatory response, as provoked by elective orthopaedic surgery, on HbA1c. Methods HbA1c and serum C-reactive protein concentrations were compared before and two days after elective knee or hip surgery in 30 patients without diabetes. C-reactive protein was used to assess the systemic inflammatory response. Results The mean (standard deviation) serum C-reactive protein increased following surgery (4.8 [7.5] vs. 179.7 [61.9] mg/L; P<0.0001). HbA1c was similar before and after surgery (39.2 [5.4] vs. 38.1 [5.1] mmol/moL, respectively; P = 0.4363). Conclusions HbA1c is unaffected within two days of a systemic inflammatory response as provoked by elective orthopaedic surgery. This suggests that HbA1c may be able to differentiate newly presenting type 2 diabetes mellitus from stress hyperglycaemia in acutely ill patients with new onset hyperglycaemia.

  17. Development of a radio-frequency ion beam source for fast-ion studies on the large plasma device.

    PubMed

    Tripathi, S K P; Pribyl, P; Gekelman, W

    2011-09-01

    A helium ion beam source (23 kV/2.0 A) has been constructed for studying fast-ion physics in the cylindrical magnetized plasma of the large plasma device (LAPD). An inductive RF source produces a 10(19) m(-3) density plasma in a ceramic dome. A multi-aperture, rectangular (8 cm × 8 cm) three-grid system extracts the ion beam from the RF plasma. The ion beam is injected at a variety of pitch angles with Alfvénic speeds in the LAPD. The beam current is intense enough to excite magnetic perturbations in the ambient plasma. Measurements of the ion beam profile were made to achieve an optimum beam performance and a reliable source operation was demonstrated on the LAPD. © 2011 American Institute of Physics

  18. Determination of collision rates relevant to Weibel-like instability growth rates in classical and non-classical plasmas encountered in fast-ignition experiments

    SciTech Connect

    Hill, J M; Key, M H

    2004-10-18

    Analytical simulations of fast-electron currents induced by high-density laser-plasma interactions require estimation of various plasma and beam parameters, including temperatures, densities, and collision rates. This note describes a technique used to estimate or calculate these parameters for the case of contemporary multi-terawatt experiments using foil targets as well as for anticipated fast-ignition-scale experiments.

  19. Hyperuricemia Is a Risk Factor for the Onset of Impaired Fasting Glucose in Men with a High Plasma Glucose Level: A Community-Based Study

    PubMed Central

    Miyake, Teruki; Kumagi, Teru; Furukawa, Shinya; Hirooka, Masashi; Kawasaki, Keitarou; Koizumi, Mitsuhito; Todo, Yasuhiko; Yamamoto, Shin; Abe, Masanori; Kitai, Kohichiro; Matsuura, Bunzo; Hiasa, Yoichi

    2014-01-01

    Background It is not clear whether elevated uric acid is a risk factor for the onset of impaired fasting glucose after stratifying by baseline fasting plasma glucose levels. We conducted a community-based retrospective longitudinal cohort study to clarify the relationship between uric acid levels and the onset of impaired fasting glucose, according to baseline fasting plasma glucose levels. Methods We enrolled 6,403 persons (3,194 men and 3,209 women), each of whom was 18–80 years old and had >2 annual check-ups during 2003–2010. After excluding persons who had fasting plasma glucose levels ≥6.11 mM and/or were currently taking anti-diabetic agents, the remaining 5,924 subjects were classified into quartiles according to baseline fasting plasma glucose levels. The onset of impaired fasting glucose was defined as fasting plasma glucose ≥6.11 mM during the observation period. Results In the quartile groups, 0.9%, 2.1%, 3.4%, and 20.2% of the men developed impaired fasting glucose, respectively, and 0.1%, 0.3%, 0.5%, and 5.6% of the women developed impaired fasting glucose, respectively (P trend <0.001). After adjusting for age, body mass index, systolic blood pressure, triacylglycerols, high density lipoprotein-cholesterol, creatinine, fatty liver, family history of diabetes, alcohol consumption, and current smoking, uric acid levels were positively associated with onset of impaired fasting glucose in men with highest-quartile fasting plasma glucose levels (adjusted hazard ratio, 1.003; 95% confidence interval, 1.0001–1.005, P = 0.041). Conclusions Among men with high fasting plasma glucose, hyperuricemia may be independently associated with an elevated risk of developing impaired fasting glucose. PMID:25237894

  20. Effects of the fast plasma sheet flow on the geosynchronous magnetic configuration: Geotail and GOES coordinated study

    NASA Astrophysics Data System (ADS)

    Ohtani, S.; Singer, H. J.; Mukai, T.

    2006-01-01

    The present study statistically examines how (or if) the geosynchronous (GOES) magnetic field responds to fast earthward flow observed by the Geotail satellite in the plasma sheet. The change of the GOES H (north-south) component within 15 min of the detection of fast flows, ΔH, is used as a primary measure of the geosynchronous response. It is found that following the detection of fast flows, the geosynchronous magnetic field rarely dipolarizes, but it often becomes more stretched, which is manifested by negative ΔH. This H decrease is not accompanied by any correlated variation of the D (azimuthal) component, suggesting that the associated stretching is not an edge effect of the substorm current wedge formation, but it can be attributed to the intensification of the local tail current. No systematic dependence of ΔH on the satellite separation can be found. On the other hand, the geosynchronous magnetic field tends to dipolarize if it is already stretched significantly, although the associated changes in the H and V (radial) components are not much larger than those in events that are not preconditioned. The flow intensity does not seem to be a controlling factor, either. However, caution needs to be exercised because the present study is not able to address the azimuthal structure of the fast flow. It is concluded that in most events the fast plasma flow does not reach geosynchronous orbit and that the generation of the fast plasma flow in the plasma sheet is not sufficient for causing geosynchronous dipolarization.

  1. Fast-ion measurements with neutron and gamma-ray spectroscopy in thermonuclear plasmas: recent results and future prospects

    NASA Astrophysics Data System (ADS)

    Nocente, M.

    2016-03-01

    A high-performance thermonuclear plasma is a strong source of nuclear radiation, which includes neutron emission from the main fusion reactions and gamma-rays born from the interaction of supra-thermal ions and plasma impurities. Spectroscopic measurements of both types of radiation are an indirect probe of the distribution function of the fast ions leading to nuclear emission. In this paper we present a selection of recent results obtained with neutron and gamma-ray spectroscopy as a means to study the energy distribution of supra-thermal particles in high-performance thermonuclear plasmas. We focus in particular on the advancements made possible by the combination of dedicated instrumentation and detailed models based on the nuclear physics behind the emission. Future developments are finally addressed, especially regarding the availability of compact detectors with spectroscopy capabilities, which open up to a full tomographic reconstruction of the fast-ion velocity space.

  2. Mitochondrial DNA copy number augments performance of A1C and oral glucose tolerance testing in the prediction of type 2 diabetes

    PubMed Central

    Cho, Seong Beom; Koh, InSong; Nam, Hye-Young; Jeon, Jae-Pil; Lee, Hong Kyu; Han, Bok-Ghee

    2017-01-01

    Here, we tested the performance of the mitochondrial DNA copy number (mtDNA-CN) in predicting future type 2 diabetes (n = 1108). We used the baseline clinical data (age, sex, body mass index, waist-to-hip ratio, systolic and diastolic blood pressure) and the mtDNA-CN, hemoglobin A1c (A1C) levels and results of oral glucose tolerance test (OGTT) including fasting plasma glucose, 1-hour glucose, and 2-hour glucose levels, to predict future diabetes. We built a prediction model using the baseline data and the diabetes status at biannual follow-up of 8 years. The mean area under curve (AUC) for all follow-ups of the full model including all variables was 0.92 ± 0.04 (mean ± standard deviation), while that of the model excluding the mtDNA-CN was 0.90 ± 0.03. The sensitivity of the f4ull model was much greater than that of the model not including mtDNA-CN: the mean sensitivities of the model with and without mtDNA-CN were 0.60 ± 0.06 and 0.53 ± 0.04, respectively. We found that the mtDNA-CN of peripheral leukocytes is a biomarker that augments the predictive power for future diabetes of A1C and OGTT. We believe that these results could provide invaluable information for developing strategies for the management of diabetes. PMID:28251996

  3. Associations of FPG, A1C and disease duration with protein markers of oxidative damage and antioxidative defense in type 2 diabetes and diabetic retinopathy

    PubMed Central

    Reddy, V S; Agrawal, P; Sethi, S; Gupta, N; Garg, R; Madaan, H; Kumar, V

    2015-01-01

    Purpose To investigate the role of protein oxidative damage and antioxidant defense in relationship to hyperglycemia measured as fasting plasma glucose (FPG), glycated hemoglobin (A1C), and duration of disease in type 2 diabetes mellitus (DM) and diabetic retinopathy (DR). Methods This study recruited 23 non-diabetic subjects, 16 DM patients without any complications and 18 DR patients. The serum ischemia modified albumin (IMA) and glutathione (GSH) levels were measured. The IMA results were corrected for serum albumin. Between-group differences were studied by analysis of variance and between-variable associations were studied by Spearman's and partial correlations. Results IMA and cIMA values were elevated, whereas GSH was decreased in both patient groups vs controls (P<0.05), and the increase in IMA formation is not related to serum albumin changes. DR patients have much severe oxidative stress (OS) status with high IMA and cIMA, and low GSH than in the DM group (P<0.05). Both FPG and A1C levels were positively associated with IMA in DM group, while in the DR group, duration of disease too had a positive association with IMA. The antioxidant GSH had negative correlations with FPG (r=−0.52, P=0.02) and IMA (r=−0.49, P=0.03) in the DR group. Partial correlation analyses predicted mutual or independent associations among parameters. Conclusions Severe OS in DR has been associated with increased FPG, A1C, and disease duration. Both hyperglycemia and elevated oxidative damage detected as IMA are collectively associated with depleted GSH status. Our study unravels the need for monitoring of OS in addition to standard glycemic management in DR. PMID:26381098

  4. Abnormal expression and function of Dectin-1 receptor in type 2 diabetes mellitus patients with poor glycemic control (HbA1c>8%).

    PubMed

    Cortez-Espinosa, Nancy; García-Hernández, Mariana H; Reynaga-Hernández, Elizabeth; Cortés-García, J Diego; Corral-Fernández, Nancy E; Rodríguez-Rivera, J Guillermo; Bravo-Ramírez, Anamaría; González-Amaro, Roberto; Portales-Pérez, Diana P

    2012-11-01

    Dectin-1 is a key innate receptor involved in various cellular responses and may have a direct role in chronic inflammatory conditions such as type 2 diabetes mellitus. The aim of this work was to evaluate the expression and function of Dectin-1 in peripheral blood mononuclear cells from T2D patients. Dectin-1 expression was analyzed by flow cytometry and RT-PCR in monocytes and lymphocyte subpopulations from T2D patients (n=34) and healthy subjects (n=29). Functional assays were used to assess cytokine synthesis, ROS levels and oxidative stress ratio. We found increased expression (MFI) of Dectin-1 in monocytes from T2D patients. Significantly higher Dectin-1 expression was also detected in CD4(+) T, CD8(+) T, B cells and NK cells from T2D patients compared to controls. In contrast, monocytes from T2D patients with poor glycemic control (HbA1c>8%) showed a diminished percentage of Dectin-1(+)/TLR2(+) cells. Negative correlations between the percent of Dectin-1(+)/TLR2(+) cells and fasting plasma glucose levels (FPG) and HbA1c levels were found. A significant reduction in basal levels of IL-10 was observed in patients with poor glycemic control (HbA1c>8%) compared to patients with appropriate glycemic control (HbA1c≤6.5%) and healthy controls, an effect that was not observed in monocytes stimulated with zymosan. Higher ROS levels in zymosan-stimulated cells from patients with poor glycemic control positively correlated with FPG levels, and the oxidative stress ratio was higher in T2D cells compared with controls. Our data indicate that Dectin-1 may be involved in the abnormal immune responses that are observed in patients with T2D.

  5. Changes of plasma fasting carnitine ester profile in patients with ulcerative colitis

    PubMed Central

    Bene, Judit; Komlósi, Katalin; Havasi, Viktória; Talián, Gábor; Gasztonyi, Beáta; Horváth, Krisztina; Mózsik, Gyula; Hunyady, Béla; Melegh, Béla; Figler, Mária

    2006-01-01

    AIM: To determine the plasma carnitine ester profile in adult patients with ulcerative culitis (UC) and compared with healthy control subjects. METHOD: Using ESI triple quadrupole tandem mass spectrometry, the carnitine ester profile was measured in 44 patients with UC and 44 age- and sex-matched healthy controls. RESULTS: There was no significant difference in the fasting free carnitine level between the patients with UC and the healthy controls. The fasting propionyl- (0.331 ± 0.019 vs 0.392 ± 0.017 μmol/L), butyryl- (0.219 ± 0.014 vs 0.265 ± 0.012), and isovalerylcarnitine (0.111 ± 0.008 vs 0.134 ± 0.008) levels were decreased in the UC patients. By contrast, the level of octanoyl- (0.147 ± 0.009 vs 0.114 ± 0.008), decanoyl- (0.180 ± 0.012 vs 0.137 ± 0.008), myristoyl- (0.048 ± 0.003 vs 0.039 ± 0.003), palmitoyl- (0.128 ± 0.006 vs 0.109 ± 0.004), palmitoleyl- (0.042 ± 0.003 vs 0.031 ± 0.002) and oleylcarnitine (0.183 ± 0.007 vs 0.163 ± 0.007; P < 0.05 in all comparisons) were increased in the patients with UC. CONCLUSION: Our data suggest selective involvement of the carnitine esters in UC patients, probably due to their altered metabolism. PMID:16440427

  6. Experimental study of fast electrons from the interaction of ultra intense laser and solid density plasmas

    NASA Astrophysics Data System (ADS)

    Cho, Byoung-Ick

    A series of experiments have been performed to understand fast electron generation from ultra intense laser-solid interaction, and their transports through a cold material. Using Micro-Electro-Mechanical Systems (MEMS), we contrived various shape of cone and wedge targets. The first set of experiment was for investigating hot electron generations by measuring x-ray production in different energy ranges. Kalpha and hard x-ray yields were compared when the laser was focused into pyramidal shaped cone targets and wedge shaped targets. Hot electron production is highest in the wedge targets irradiated with transverse polarization, though Kalpha is maximized with wedge targets and parallel polarization. These results are explained with particle-in-cell (PIC) simulations utilizing PICLS and OOPIC codes. We also investigate hot electron transport in foil, wedge, and cone targets by observing the transition radiation emitted from the targets rear side along with bremsstrahlung x-ray measurement. Two-dimensional images and spectra of 800 nm coherent transition radiation (CTR) along with ballistic electron transport analysis have revealed the spatial, temporal, and temperature characteristics of hot electron micro-pulses. Various patterns from different target-laser configurations suggest that hot electrons were guided by the strong static electromagnetic fields at the target boundary. Evidence about fast electron guiding in the cone is also observed. CTR at 400 nm showed that two distinct beams of MeV electrons are emitted from the target rear side at the same time. This measurement indicates that two different mechanisms, namely resonance absorption and j x B heating, create two populations of electrons at the targets front side and drive them to different directions, with distinct temperatures and temporal characteristics. This interpretation is consistent with the results from 3D-PIC code Virtual Laser Plasma Laboratory (VLPL).

  7. Supplementation of cheonggukjang and red ginseng cheonggukjang can improve plasma lipid profile and fasting blood glucose concentration in subjects with impaired fasting glucose.

    PubMed

    Shin, Su-Kyung; Kwon, Joong-Ho; Jeong, Yong-Jin; Jeon, Seon-Min; Choi, Ji-Young; Choi, Myung-Sook

    2011-01-01

    This study was conducted to investigate the plasma lipid profile and blood glucose-lowering effects of cheonggukjang (CH) and red ginseng CH (RGCH) in 45 subjects (men:women = 27:18; mean age, 44.9 ± 3.1 years) with impaired fasting glucose (IFG). Subjects were randomly divided into three groups: control (starch, 2 g/day), CH (20 g/day), and RGCH (20 g/day). Each volunteer received his or her daily doses for 8 weeks. The supplementation with CH and RGCH significantly decreased the plasma total cholesterol about 30.0 mg/mL and 37.7 mg/mL, respectively, compared to the initial value. The plasma low-density lipoprotein-cholesterol concentration was also significantly reduced by 29.66% and 23.42% in the CH and RGCH groups, respectively, compared to the initial value. The concentration of plasma non-high-density lipoprotein-cholesterol (107.9 mg/mL) was significantly lowered in the RGCH group compared to the initial value (139.1 mg/mL). The level of erythrocyte thiobarbituric acid-reactive substances was significantly lowered in the CH (6.5 nmol/mL) and RGCH (6.6 nmol/mL) groups compared to the initial value (7.9 nmol/mL and 8.0 nmol/mL, respectively). The ratio of apolipoprotein B and apolipoprotein A-1 concentrations (2.5) was significantly reduced in the CH group compared to the initial value (3.0). The concentration of fasting blood glucose (FBG) was significantly lower in the CH- and RGCH-supplemented groups compared to the initial value. These results suggest that CH and RGCH can lower the FBG concentration and improve the plasma lipid profile in subjects with IFG.

  8. Day-to-day variability of fasting plasma glucose in newly diagnosed type 2 diabetic subjects.

    PubMed

    Ollerton, R L; Playle, R; Ahmed, K; Dunstan, F D; Luzio, S D; Owens, D R

    1999-03-01

    To determine the day-to-day intraindividual variability of fasting plasma glucose (FPG) in newly diagnosed Caucasian type 2 diabetic subjects. A total of 193 newly diagnosed, previously untreated, Caucasian type 2 diabetic subjects (135 men, 58 women) had FPG measured on two consecutive days (FPG1, FPG2). Ethical approval and subjects' full informed consent were obtained. Subjects fasted for 12 h before each study day and rested for at least 30 min before blood was taken. Plasma glucose was analyzed by a glucose oxidase method with intra- and interassay coefficients of variation (CVs) < 2%. Variability of FPG was assessed by comparison of percentage differences (PDs): PD = 100 (FPG2 - FPG1)/FPG1, with averaged FPG (FPGaver = [FPG1 + FPG2]/2). Biological and analytical variability were determined by use of SD2total = SD2biological + SD2analytical, where SD2analytical approximately equal to 2 x (CVglucose measurement)2. Given normally distributed data with zero mean, 95% of daily percentage differences will be expected to fall within a range of +/- 2 SDtotal. Subjects were age 54 +/- 10 years (mean +/- SD) and had BMI of 29.3 +/- 5.3 kg/m2. FPG values for both days were 12.2 +/- 3.4 mmol/l (FPG1) and 12.1 +/- 3.3 mmol/l (FPG2), with a mean paired difference (95% CI) of 0.1 (0.0 to 0.3) mmol/l. The variance of these differences increased with increasing FPGaver. The PDs did not exhibit this effect and were normally distributed (mean -0.6% [-1.7 to 0.4]; SD 7.4% [6.8 to 8.3]), giving a 95% variability (2 SD) of 14.8%. Biological variability (2 SDbiological) was 13.7%. No significant difference in PD was found between men and women (mean difference 1.3% [-1.0 to 3.6]; SDmale 7.4%, SDfemale 7.3%; P = 0.62). A total of 95% of the FPG values for this group of newly diagnosed type 2 diabetic subjects varied within approximately +/- 15% on a daily basis, with approximately 14% caused by biological variability. As these results are expressed in percentage terms, subjects in

  9. Interference of hemoglobinA1c (HbA1c) detection using ion-exchange high performance liquid chromatography (HPLC) method by clinically silent hemoglobin variant in University Malaya Medical Centre (UMMC)--a case report.

    PubMed

    Thevarajah, M; Nadzimah, M N; Chew, Y Y

    2009-03-01

    Glycated hemoglobin, measured as HbA1c is used as an index of mean glycemia in diabetic patients over the preceding 2-3 months. Various assay methods are used to measure HbA1c and many factors may interfere with its measurement according to assay method used, causing falsely high or low results. To report a case of diabetic patient with clinically silent hemoglobin variant, causing undetectable HbA1c concentration using ion-exchange high performance liquid chromatography (HPLC) method. Our patient is a 65-year-old female with type 2 diabetes mellitus on diet control, hypertension and hypercholesterolemia. Her fasting blood glucose concentrations ranged from 6.2 to 7.8 mmol/L. Her HbA1c concentrations measured with immunoturbidimetry method (Cobas Integra, Roche Diagnostics) ranged from 6.11 to 7.23%, but were undetectable when measured with ion-exchange HPLC [Arkray HA8160, Diabetes Mode (also known as Menarini HA8160)]. Hemoglobin analysis identified the presence of a hemoglobin variant--Hemoglobin D Punjab. Clinical laboratories should be aware of limitations of the HbA1c assay method used, such as potential interference with hemoglobin variant as depicted by our case. Alternative methods for monitoring glycemic control in these patients should be considered.

  10. Measurements of plasma profiles using a fast swept Langmuir probe in the VINETA-II magnetic reconnection experiment

    NASA Astrophysics Data System (ADS)

    Shesterikov, I.; Von Stechow, A.; Grulke, O.; Stenzel, R.; Klinger, T.

    2017-07-01

    A fast-swept Langmuir probe capable to be biased at a high voltages has been constructed and successfully operated at the VINETA-II magnetic reconnection experiment. The presented circuit has two main features beneficial for fast transient parameter changes in laboratory experiments as, e.g., plasma guns or magnetic reconnection: the implementation simplicity and the high voltage sweep range. This work presents its design and performance for time-dependent measurements of VINETA-II plasmas. The probe is biased with a sinusoidal voltage at a fixed frequency. Current - voltage characteristics are measured along the falling and rising slopes of the probe bias. The sweep frequency is fsweep= 150 kHz. The spatiotemporal evolution of radial plasma profiles is obtained by evaluation of the probe characteristics. The plasma density measurements agree with those derived from a microwave interferometer, demonstrating the reliability of the measurements. As a model plasma system, a plasma gun discharge with typical pulse times of 60 μ s is chosen.

  11. The Prevalence and Associated Factors of Periodontitis According to Fasting Plasma Glucose in the Korean Adults

    PubMed Central

    Hong, Jae Won; Noh, Jung Hyun; Kim, Dong-Jun

    2016-01-01

    Abstract Although the relationship between diabetes and periodontitis is well established, the association between periodontitis and prediabetes has been investigated less extensively. Furthermore, there has been little research on the prevalence of periodontitis among individuals with prediabetes and diabetes as well as in the overall population using nationally representative data. Among 12,406 adults (≥19 years’ old) who participated in the 2012–2013 Korea National Health and Nutrition Examination Survey, a total of 9977 subjects completed oral and laboratory examinations and were included in this analysis. Periodontitis was defined as a community periodontal index score of ≥3 according to the World Health Organization criteria. The fasting plasma glucose level was categorized into the following 5 groups: normal fasting glucose (NFG) 1 (<90 mg/dL), NFG 2 (90–99 mg/dL), impaired fasting glucose (IFG) 1 (100–110 mg/dL), IFG 2 (111–125 mg/dL), and diabetes (≥126 mg/dL). Overall, the weighted prevalence of periodontitis among the Korean adult population was 24.8% (23.3–26.4%) (weight n = 8,455,952/34,086,014). The unadjusted weighted prevalences of periodontitis were 16.7%, 22.8%, 29.6%, 40.7%, and 46.7% in the NFG 1, NFG 2, IFG 1, IFG 2, and diabetes groups, respectively (P < 0.001). After adjusting for age, sex, smoking history, heavy alcohol drinking, college graduation, household income, waist circumference, serum triglyceride level, serum high-density lipoprotein cholesterol level, and the presence of hypertension, the adjusted weighted prevalence of periodontitis increased to 29.7% in the IFG 2 group (P = 0.045) and 32.5% in the diabetes group (P < 0.001), compared with the NFG 1 group (24%). The odds ratios for periodontitis with the above-mentioned variables as covariates were 1.42 (95% confidence interval [CI] 1.14–1.77, P = 0.002) in the diabetes group and 1.33 (95% CI 1.01–1.75, P = 0.044) in the IFG

  12. Insulin glargine provides greater improvements in glycaemic control vs. intensifying lifestyle management for people with type 2 diabetes treated with OADs and 7-8% A1c levels. The TULIP study.

    PubMed

    Blicklé, J-F; Hancu, N; Piletic, M; Profozic, V; Shestakova, M; Dain, M-P; Jacqueminet, S; Grimaldi, A

    2009-04-01

    To determine whether earlier administration of insulin glargine (glargine) vs. the intensification of lifestyle management (LM) improves glycaemic control in type 2 diabetes patients with A1c 7-8% treated with oral therapy. TULIP [Testing the Usefulness of gLargine when Initiated Promptly in type 2 diabetes mellitus (T2DM)] was a 9-month, 12-visit, open-label, multinational, multicentre, randomized study to evaluate starting glargine or intensifying LM in T2DM patients aged 40-75 years, body mass index (BMI) 24-35 kg/m2 and A1c 7-8%, treated with maximum doses of metformin and sulphonylurea for > or = 2 years. Glargine was injected once daily (evening) and titrated to fasting blood glucose 0.7-1.0 g/l. In the LM arm, dietary and physical activity counselling recommended stable weight for people with BMI < 27 kg/m2 or weight loss of 3 kg for patients with BMI > or = 27 kg/m2. A total of 215 patients were randomized to glargine (n = 106) or LM (n = 109). The primary objective was patients achieving A1c < 7% at endpoint. Secondary endpoints included changes in A1c, in fasting plasma glucose (FPG), body weight and hypoglycaemia incidence. Two hundred and eleven (52.6% male) patients were randomized and treated; mean (+/- s.d.) age 60.7 +/- 7.9 years, weight 84.5 +/- 13.1 kg, BMI 29.9 +/- 3.5 kg/m2 and A1c 7.6 +/- 0.4%. More patients reached A1c < 7% (66 vs. 38%; p < 0.0001) or < 6.5% (34 vs. 11%; p = 0.0001) with glargine vs. LM. The change in FPG from baseline to study endpoint was significantly greater in the glargine vs. the LM arm (-0.50 +/- 0.47 vs. -0.05 +/- 0.39 g/l respectively; p < 0.0001). Compared with the glargine group, the LM group showed a decrease in weight (+0.9 +/- 2.9 vs. -2.5 +/- 3.2 kg; p < 0.0001), as well as the expected lower symptomatic hypoglycaemia (55.3 vs. 25.0%; p < 0.0001) and nocturnal hypoglycaemia (20.4 vs. 5.6%; p = 0.0016). No significant changes were observed from baseline to study endpoint in any of the lipid parameters tested. In

  13. Hemoglobin A1C above threshold levels are associated with decreased β-cell function in overweight Latino youth

    PubMed Central

    Toledo-Corral, Claudia M.; Vargas, Lisa G.; Goran, Michael I.; Weigensberg, Marc J.

    2011-01-01

    Objective To determine, in an overweight pediatric population, if an A1C-determined high risk, pre-diabetic state (A1C ≥6.0–6.4%) is associated with decreased insulin sensitivity and β-cell dysfunction, known factors in the pathogenesis of type 2 diabetes. Study design We divided 206 healthy overweight Latino adolescents (124 male/82 female; age 13.1±2.0 yrs), into 2 groups: Lower Risk (LR, n=179) had A1C <6.0%; and High Risk (HR, n=27) had A1C 6.0–6.4%. Measures included A1C; OGTT fasting & 2-hr glucose and insulin; insulin sensitivity (SI), acute insulin response (AIR), and disposition index (DI, an index of β-cell function) by frequently sampled FSIVGTT with minimal modeling. Body fat was determined by DEXA. Results Compared with the LR group, the HR group had 21% lower SI (1.21±0.06 vs. 1.54±0.13, p<0.05), 30% lower AIR (928±102 vs. 1342±56, p<0.01), and 31% lower DI (1390±146 vs. 2023±83, p=0.001) after adjusting for age and total percent body fat. Conclusion These data provide clear evidence of greater impairment of β-cell function in those overweight Latino children with A1C 6.0–6.4%, and would thereby support the adoption of the International Expert Committee A1C-determined definition of high risk state for overweight children at risk for type 2 diabetes. PMID:22137671

  14. Fasting plasma insulin and the default mode network in women at risk for Alzheimer's disease

    PubMed Central

    Kenna, Heather; Hoeft, Fumiko; Kelley, Ryan; Wroolie, Tonita; DeMuth, Bevin; Reiss, Allan; Rasgon, Natalie

    2016-01-01

    Brain imaging studies in Alzheimer's disease research have demonstrated structural and functional perturbations in the hippocampus and default mode network (DMN). Additional evidence suggests risk for pathological brain aging in association with insulin resistance (IR). This study piloted investigation of associations of IR with DMN-hippocampal functional connectivity among postmenopausal women at risk for Alzheimer's disease. Twenty middle-aged women underwent resting state functional magnetic resonance imaging. Subjects were dichotomized relative to fasting plasma insulin levels (i.e., 8 IU/mL [n 10] and 8 IU/mL [n 10]), and functional connectivity analysis contrasted their respective blood oxygen level-dependent signal correlation between DMN and hippocampal regions. Higher-insulin women had significantly reduced positive associations between the medial prefrontal cortex and bilateral parahippocampal regions extending to the right hippocampus, and conversely, between the left and right hippocampus and medial prefrontal cortex. Neuropsychological data (all within normal ranges) also showed significant differences with respect to executive functioning and global intelligence. The results provide further evidence of deleterious effects of IR on the hippocampus and cognition. Further imaging studies of the IR-related perturbations in DMN-hippocampal functional connectivity are needed. PMID:22770543

  15. Efficiency of fast wave current drive for a weakly relativistic plasma

    SciTech Connect

    Chiu, S.C.; Lin-Liu, Y.R. ); Karney, C.F.F. . Plasma Physics Lab.)

    1993-04-01

    Current drive by fast waves (FWCD) is an important candidate for steady-state operation of tokamaks. Major experiments using this scheme are being carried out on DIII-D. There has been considerable study of the theoretical efficiency of FWCD. In Refs. 4 and 5, the nonrelativistic efficiency of FWCD at arbitrary frequencies was studied. For DIII-D parameters, the results can be considerably different from the Landau and Alfven limits. At the high temperatures of reactors and DIII-D upgrade, relativistic effects become important. In this paper, the relativistic FWCD efficiency for arbitrary frequencies is studied. Assuming that the plasma is weakly relativistic, i.e., T[sub e]/Mc[sup 2] is small, an analytic expression for FWCD is obtained for high resonant energies (U[sub ph]/u[sub Te][much gt]). Comparisons with the results from a numerical code ADJ and the nonrelativistic results shall be made and analytical fits in the whole range of velocities shall be presented.

  16. Efficiency of fast wave current drive for a weakly relativistic plasma

    SciTech Connect

    Chiu, S.C.; Lin-Liu, Y.R.; Karney, C.F.F.

    1993-04-01

    Current drive by fast waves (FWCD) is an important candidate for steady-state operation of tokamaks. Major experiments using this scheme are being carried out on DIII-D. There has been considerable study of the theoretical efficiency of FWCD. In Refs. 4 and 5, the nonrelativistic efficiency of FWCD at arbitrary frequencies was studied. For DIII-D parameters, the results can be considerably different from the Landau and Alfven limits. At the high temperatures of reactors and DIII-D upgrade, relativistic effects become important. In this paper, the relativistic FWCD efficiency for arbitrary frequencies is studied. Assuming that the plasma is weakly relativistic, i.e., T{sub e}/Mc{sup 2} is small, an analytic expression for FWCD is obtained for high resonant energies (U{sub ph}/u{sub Te}{much_gt}). Comparisons with the results from a numerical code ADJ and the nonrelativistic results shall be made and analytical fits in the whole range of velocities shall be presented.

  17. Alcator C-Mod ICRF fast wave antenna design and analysis and expected plasma performance

    NASA Astrophysics Data System (ADS)

    Takase, Y.; Golovato, S.; Porkolab, M.; Becker, H.; Diatchenko, N.; Kochan, S.; McCoy, C.; Pierce, N.

    1989-07-01

    The design and analysis of the fast wave antenna to be used for ICRF heating experiments on the Alcator C-Mod tokamak are described. A movable single-strap low-field-side-launch loop antenna will be used during the initial operation period. Structural analysis against disruption and thermal analysis are performed. Optimized two-strap antennae with twice the surface area are planned for high-power heating experiments. Antenna-plasma coupling studies indicate a poor (<20%) single-pass ion absorption for D(3He), and a radiation resistance of ≳10Ω. Minority ions are not expected to be accelerated to very high energies under typical operating densities (Teff≲50 keV for n¯e≳3×1020m-3), and energetic ions should mainly slow down on ions. The transport of minority ions broadens the energetic minority ion and slowing down profiles and reduces Teff, but the effect is small for n¯e≳3×1020m-3.

  18. Negative relationship between fasting plasma ghrelin concentrations and ad libitum food intake.

    PubMed

    Salbe, Arline D; Tschöp, Matthias H; DelParigi, Angelo; Venti, Colleen A; Tataranni, P Antonio

    2004-06-01

    Ghrelin is a novel GH secretagogue with orexigenic effects. We hypothesized that high fasting plasma ghrelin concentrations (FxGhr) might predict high ad libitum food intake. FxGhr were measured in 30 normoglycemic subjects: 15 Pima Indians (8 male/7 female; age, 32 +/- 7 yr; body weight, 87 +/- 21 kg; mean +/-sd) and 15 Caucasians (12 male/3 female, 36 +/- 8 yr, 94 +/- 26 kg) in energy balance for 3 d before testing. Subjects then self-selected their food ad libitum for the following 3 d. Mean daily energy intake (DEI) was calculated from the weight of foods consumed and expressed as a percent of weight maintenance energy needs. FxGhr were twice as high in Caucasians as in Pima Indians (103 +/- 53 vs. 52 +/- 18 fmol/ml, P < 0.001) and remained higher after adjustment for age, gender, and body weight (P < 0.0001). Neither DEI, nor percent of weight maintenance energy needs, nor percent of calories from fat differed between the races. In both groups, FxGhr were negatively correlated with DEI (r = -0.61, P = 0.01; r = -0.54, P = 0.04, respectively). These negative relationships were not explained by interindividual differences in age, gender, or body weight. This unexpected finding that low FxGhr predict ad libitum food intake suggests that the role of endogenous ghrelin in the regulation of energy homeostasis remains uncertain.

  19. [Genetic determination of fast plasma glucose concentration and correlation with anthropometric indices].

    PubMed

    Jian, Wei-xia; Su, Qing; Luo, Min

    2009-04-01

    To study the genetic determination of fast plasma glucose (FPG) and correlation with its potential correlated traits, anthropometric measures and blood pressure. Two hundred and eighteen Type 2 diabetes mellitus (T2DM) pedigrees composed of 1383 Chinese Han individuals residing in the East and South-East China were analyzed. Univariate variance decomposition analyses were used to estimate the narrow-sense heritability (h(2)) of FPG, anthropometric indices and blood pressure, and bivariate quantitative genetic analyses were used to estimate the genetic and environmental correlations between FPG and anthropometric measures or blood pressure. We found that FPG, blood pressure and all anthropometric indices except for waist to hip ratio were under significant genetic determination, and the h(2) was from 0.28 to 0.43. We did not find significant genetic and environmental correlation between FPG and anthropometric indices and blood pressure. The present study demonstrated that T2DM, obesity and hypertension were controlled by some genetic factors, and FPG shares little common genetic and environmental factors with obesity-related anthropometric indices and blood pressure in our Chinese sample population.

  20. [Evaluation of D10 hemoglobin testing system for hemoglobin A1C assay].

    PubMed

    Marzullo, C; Minery, M

    2008-01-01

    Bio-Rad D10 hemoglobin testing system with rack loader for hemoglobinA1C assay was evaluated. Analytical qualities were satisfactory. Imprecision was good (within-run cv was 0,5% for 4,5% of HBA(1C), 0,63% for 7,4% of HBA1C, 0,46% for 11,1% of HBA1C, between-run cv was 1,16% for 4,7% of HBA1C, 1,01% for 7,6% of HBA1C, 1,04% for 11,2% of HBA1C). Results were very well correlated with those obtained on Bio-Rad Variant II (r = 0,998). Bland and Altman graph showed good agreement between the two methods for HbA1C under 15%. The measuring range was up to 18,3% of HBA1C. There was no specimen related carry over. Triglycerides under 5,5 mmol/L and bilirubin under 734 mumol/L did not interfere. Carbamylation of HBA1C did not interfere for urea concentration under 14 mmol/L. Practicability was very good. Detection of common hemoglobin variants (HbS, C, D, E, O) is available. Fast and easy switching between short and long program allows to perform HBA1C determination for patients with hemoglobin variants. So, D10 is an interesting and easy to use small HPLC automate witch offers accurate HBA1C quantification certified by NGSP.

  1. Impact of glutathione-HbA1c on HbA1c measurement in diabetes diagnosis via array isoelectric focusing, liquid chromatography, mass spectrometry and ELISA.

    PubMed

    Li, Si; Guo, Chen-Gang; Chen, Lu; Yin, Xiao-Yang; Wu, Yi-Xin; Fan, Liu-Yin; Fan, Hui-Zhi; Cao, Cheng-Xi

    2013-10-15

    Hemoglobin A1c (HbA1c) has been proven to be a key biomarker for diabetes screening, and glutathiolation of HbA1c (viz., GSS-HbA1c) has been identified. However, the impact of GSS-HbA1c on the measurement of HbA1c for diabetes screening has not been quantitatively assessed yet. To address the issue, the micropreparative capillary isoelectric focusing (cIEF) developed in our previous work was used for the high resolution separation and purification of hemoglobin (Hb) species. The main fractions of HbA0, HbA3 and HbA1c extracted from the developed cIEF were identified by validated Mono S method. The proposed GSS-HbA1c fractions in the cIEF were pooled and identified by electrospray ionization mass spectrometry (ESI-MS). The HbA1c enzyme-linked immunosorbent assay (ELISA) kit was employed for further quantitative analysis of GSS-HbA1c. A total of 34 blood samples with HbA1c levels from 4.2% to 13.4% were assessed via the above comprehensive strategy of IEF-HPLC-MS-ELISA. It was demonstrated that the HbA1c levels detected by cation exchange LC were considerably influenced by the glutathiolation of Hb and the range of detected GSS-HbA1c values was between 0.23% and 0.74%. The results and developed cIEF methods have considerable significances for investigation of diabetes and clinical diagnosis.

  2. Fasting plasma glucose and serum lipids in patients with primary aldosteronism: a controlled cross-sectional study.

    PubMed

    Matrozova, Joanna; Steichen, Olivier; Amar, Laurence; Zacharieva, Sabina; Jeunemaitre, Xavier; Plouin, Pierre-François

    2009-04-01

    An association between primary aldosteronism and metabolism disorders has been reported. The aim of this retrospective study was to test for this association by comparison between large cohorts of patients with primary aldosteronism and with essential hypertension. We retrieved the records of 460 cases with primary aldosteronism (103 lateralized, 150 not lateralized, and 207 undetermined) and of 1363 controls with essential hypertension individually matched for age and sex. We compared clinical history; blood pressure levels; body mass index; levels of fasting plasma glucose and serum triglycerides; total, high-density lipoprotein, and low-density lipoprotein cholesterol; and the prevalence of diabetes mellitus and impaired fasting glucose among subtypes of primary aldosteronism, as well as between cases with primary aldosteronism and their matched controls. Fasting plasma glucose and serum lipid levels did not differ among the 3 subtypes of primary aldosteronism. The prevalence of impaired fasting glucose was lower in patients with primary aldosteronism than their matched controls, but the prevalence of hyperglycemia (impaired fasting glucose or diabetes mellitus) and blood levels of glucose and lipids did not differ between cases and controls. There was no significant difference between preoperative and postoperative levels of either fasting plasma glucose or serum lipids in patients who underwent adrenalectomy and had follow-up data available. The analysis of this large group of patients with primary aldosteronism and essential hypertension does not confirm a higher prevalence of carbohydrate or lipid metabolism disorders in the former. It is unlikely that the prevalence of metabolic syndrome differs significantly between patients with primary aldosteronism and those with essential hypertension.

  3. Fast pyrobolometers for measurements of plasma heat fluxes and radiation losses in the MST Reversed Field Pinch

    SciTech Connect

    Fiksel, G.; Frank, J.; Holly, D.

    1993-01-07

    Two types of fast bolometers are described for the plasma energy transport study in the Madison Symmetric Torus plasma confinement device. Both types use pyrocrystals of LiTaO[sub 3] or LiNbO[sub 3] as the sensors. One type is used for measurements of the radiated heat losses and is situated at the vacuum shell inner surface. Another type is insertable in the plasma and measures the plasma particle heat flux. The frequency response of the bolometers is measured to be in the 150--200 kHz range. The range of the measured power fluxes is 0.1 W/cm[sup 2] 10 kW/cm[sup 2] and can be adjusted by changing the size of the entrance aperture. The lower limit is determined by the amplifier noise and the frequency bandwidth, the higher limit by destruction of the bolometer sensor.

  4. Fast pyrobolometers for measurements of plasma heat fluxes and radiation losses in the MST Reversed Field Pinch

    SciTech Connect

    Fiksel, G.; Frank, J.; Holly, D.

    1993-01-07

    Two types of fast bolometers are described for the plasma energy transport study in the Madison Symmetric Torus plasma confinement device. Both types use pyrocrystals of LiTaO{sub 3} or LiNbO{sub 3} as the sensors. One type is used for measurements of the radiated heat losses and is situated at the vacuum shell inner surface. Another type is insertable in the plasma and measures the plasma particle heat flux. The frequency response of the bolometers is measured to be in the 150--200 kHz range. The range of the measured power fluxes is 0.1 W/cm{sup 2} 10 kW/cm{sup 2} and can be adjusted by changing the size of the entrance aperture. The lower limit is determined by the amplifier noise and the frequency bandwidth, the higher limit by destruction of the bolometer sensor.

  5. Consumption of wheat aleurone-rich foods increases fasting plasma betaine and modestly decreases fasting homocysteine and LDL-cholesterol in adults.

    PubMed

    Price, Ruth K; Keaveney, Edel M; Hamill, Lesley L; Wallace, Julie M W; Ward, Mary; Ueland, Per M; McNulty, Helene; Strain, J J; Parker, Michael J; Welch, Robert W

    2010-12-01

    There is strong evidence that whole-grain foods protect against heart disease. Although underlying mechanisms and components are unclear, betaine, found at high levels in wheat aleurone, may play a role. We evaluated the effects of a diet high in wheat aleurone on plasma betaine and related measures. In a parallel, single-blinded intervention study, 79 healthy participants (aged 45-65 y, BMI ≥ 25 kg/m(2)) incorporated either aleurone-rich cereal products (27 g/d aleurone) or control products balanced for fiber and macronutrients into their habitual diets for 4 wk. Fasting blood samples were taken at baseline and postintervention (4 wk) from participants. Compared with the control, the aleurone products provided an additional 279 mg/d betaine and resulted in higher plasma betaine (P < 0.001; intervention effect size: 5.2 μmol/L) and lower plasma total homocysteine (tHcy) (P = 0.010; -0.7 μmol/L). Plasma dimethylglycine and methionine, which are products of betaine-mediated homocysteine remethylation, were also higher (P < 0.001; P = 0.027) relative to control. There were no significant effects on plasma choline or B vitamins (folate, riboflavin, and vitamin B-6). However, LDL cholesterol was lower than in the control group (P = 0.037). We conclude that incorporating aleurone-rich products into the habitual diet for 4 wk significantly increases plasma betaine concentrations and lowers tHcy, which is attributable to enhanced betaine-homocysteine methyltransferase-mediated remethylation of homocysteine. Although this supports a role for betaine in the protective effects of whole grains, concomitant decreases in LDL suggest more than one component or mechanism may be responsible.

  6. Hyperglycemia, assessed according to HbA1c , and future risk of venous thromboembolism: the Tromsø study.

    PubMed

    Lerstad, G; Brodin, E E; Enga, K F; Jorde, R; Schirmer, H; Njølstad, I; Svartberg, J; Braekkan, S K; Hansen, J-B

    2014-01-01

    HbA1c , a marker of average plasma glucose level during the previous 8-12 weeks, is associated with the future risk of cardiovascular disease and all-cause mortality. To examine the association between hyperglycemia, assessed according to HbA1c , and the future risk of venous thromboembolism (VTE) in a population-based cohort. HbA1c was measured in 16 156 unique subjects (25-87 years) who participated in one or more surveys of the Tromsø study (Tromsø 4, 1994-1995; Tromsø 5, 2001-2002; and Tromsø 6, 2007-2008). All subjects were followed, and incident VTE events were recorded up to 31 December 2010. There were 333 validated first VTE events, of which 137 were unprovoked, during a median follow-up of 7.1 years. HbA1c was not associated with the future risk of VTE in analyses treating HbA1c as a continuous variable, or in categorized analyses. The risk of VTE increased by 5% per one standard deviation (0.7%) increase in HbA1c (multivariable-adjusted hazard ratio [HR] 1.05; 95% confidence interval [CI] 0.97-1.14), and subjects with HbA1c  ≥ 6.5% had a 27% higher risk than those with HbA1c  < 5.7% (multivariable-adjusted HR 1.27; 95% CI 0.72-2.26). There was no significant linear trend for an increased risk of VTE across categories of HbA1c (P = 0.27). Serum levels of HbA1c were not associated with the future risk of VTE in multivariable analysis. Our findings suggest that hyperglycemia does not play an important role in the pathogenesis of VTE. © 2013 International Society on Thrombosis and Haemostasis.

  7. Generation of Non-Inductive H-Mode Plasmas with 30 MHz Fast Wave Heating in NSTX-U

    NASA Astrophysics Data System (ADS)

    Taylor, G.; Bertelli, N.; Gerhardt, S. P.; Hosea, J. C.; Mueller, D.; Perkins, R. J.; Poli, F. M.; Wilson, J. R.; Raman, R.

    2016-10-01

    A Fusion Nuclear Science Facility based on a spherical tokamak must generate the plasma current (Ip) with little or no central solenoid field. The NSTX-U non-inductive (NI) plasma research program is addressing this goal by developing NI start-up, ramp-up and sustainment scenarios separately. 4 MW of 30 MHz fast wave power is predicted to ramp Ip to 400 kA, a level sufficient to avoid significant shine-through of 90 keV ions from neutral beam injection. In 2010, experiments in NSTX demonstrated that 1.4 MW of 30 MHz high-harmonic fast wave (HHFW) power could generate an Ip = 300 kA H-mode discharge with a NI Ip fraction, fNI, around 0.7 at the maximum axial toroidal field (BT(0)) in NSTX of 0.55 T. NSTX-U is a major upgrade of NSTX that will eventually allow the generation of plasmas with BT(0) up to 1 T. Full wave simulations of 30 MHz HHFW heating in NSTX-U predict reduced FW power loss in the plasma edge as BT(0) is increased. HHFW experiments this year aim to couple 3 - 4 MW of 30 MHz HHFW power into an Ip = 250 - 350 kA plasma with BT(0) up to 0.75 T to generate a fNI = 1 H-mode plasma. These experiments should benefit from the improved fast wave coupling predicted at higher BT(0) in NSTX-U. Work supported by USDOE Contract No. DE-AC02-09CH11466.

  8. Xanthochromia of the skull bone associated with HbA1c.

    PubMed

    Schäfer, T; Klintschar, M; Lichtinghagen, R; Plagemann, I; Smith, A; Budde, E; Hagemeier, L

    2016-03-01

    The color of the surface of 105 skull bones (part of the parietal bone) was determined using a portable spectral colorimeter (spectro color(®)). By this means it was possible to characterize the color objectively according to the L*a*b* color system defined by the "International Commission de l'Eclairage" (CIE). Biochemical markers of carbohydrate metabolism, HbA1c from venous blood, and glucose/lactate concentrations from vitreous humor, were also determined, for assessment of the ante-mortem plasma glucose concentration using Traub's sum formula. As biochemical markers for lipid metabolism disorder, cholesterol, triglycerides, high density lipoprotein (HDL), low density lipoprotein (LDL) and very low density lipoprotein (VLDL) were all determined from venous blood. There is a significant correlation of bone yellowing with HbA1c (p<0.001) and age (p<0.001). The literature asserts a significant correlation between diabetic condition and yellowing of the skull bone. Despite efforts to find the substance responsible for the yellowing of the bone in chronic metabolism disorder, no significant correlation was found between bone color and lipoproteins/bone extracted lipid acids. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  9. Large-amplitude hydromagnetic waves in collisionless relativistic plasma - Exact solution for the fast-mode magnetoacoustic wave

    NASA Technical Reports Server (NTRS)

    Barnes, A.

    1983-01-01

    An exact nonlinear solution is found to the relativistic kinetic and electrodynamic equations (in their hydromagnetic limit) that describes the large-amplitude fast-mode magnetoacoustic wave propagating normal to the magnetic field in a collisionless, previously uniform plasma. It is pointed out that a wave of this kind will be generated by transverse compression of any collisionless plasma. The solution is in essence independent of the detailed form of the particle momentum distribution functions. The solution is obtained, in part, through the method of characteristics; the wave exhibits the familiar properties of steepening and shock formation. A detailed analysis is given of the ultrarelativistic limit of this wave.

  10. Increased hemoglobin A1c threshold for prediabetes remarkably improving the agreement between A1c and oral glucose tolerance test criteria in obese population.

    PubMed

    Li, Jie; Ma, Hao; Na, Lixin; Jiang, Shuo; Lv, Lin; Li, Gang; Zhang, Wei; Na, Guanqiong; Li, Ying; Sun, Changhao

    2015-05-01

    It is unclear why the prevalence of diabetes and prediabetes, especially prediabetes, between diagnosed by oral glucose tolerance test (OGTT) and hemoglobin A1c (HbA1c) criteria, is substantially discordant. We aimed to evaluate the effects of obesity on the agreement between HbA1c and OGTT for diagnosing diabetes and prediabetes and identify the optimal HbA1c cutoff values in different body mass index (BMI) classifications. In a population-based, cross-sectional study in Harbin, China, 4325 individuals aged 20-74 years without a prior diagnosed diabetes were involved in this study. measure The performance and optimal cutoff points of HbA1c were assessed by receiver-operating characteristic curve. The contribution of BMI to HbA1c was analyzed by structural equational model. The agreement between HbA1c criteria and OGTT decreased with BMI gain (κ = 0.359, 0.312, and 0.275 in a normal weight, overweight, and obese population, respectively). The structural equational model results showed that BMI was significantly associated with HbA1c in normal glucose tolerance and prediabetes subjects but not in diabetes subjects. At a specificity of 80% for prediabetes and 97.5% for diabetes, the optimal HbA1c cutoff points for prediabetes and diabetes were 5.6% and 6.4% in normal-weight, 5.7% and 6.5% in overweight, and 6.0% and 6.5% in an obese population. When the new HbA1c cutoff values were used, the agreement in obese subjects increased almost to the level in normal-weight subjects. The poor agreement between HbA1c and OGTT criteria in an obese population can be significantly improved through increasing the HbA1c threshold for prediabetes.

  11. Transformation of the ordered internal structures during the acceleration of fast charged particles in a dense plasma focus

    NASA Astrophysics Data System (ADS)

    Kubes, P.; Paduch, M.; Cikhardt, J.; Cikhardtova, B.; Klir, D.; Kravarik, J.; Rezac, K.; Zielinska, E.; Sadowski, M. J.; Szymaszek, A.; Tomaszewski, K.; Zaloga, D.

    2017-07-01

    The paper concerns important differences in the evolution of plasma column structures during the production of fusion neutrons in the first and subsequent neutron pulses, as observed for plasma-focus discharges performed with the deuterium filling. The first neutron pulse, of a more isotropic distribution, is usually produced during the formation of the first big plasmoid. The next neutron pulses can be generated by the fast deuterons moving dominantly in the downstream direction, at the instants of a disruption of the pinch constriction, when other plasmoids are formed during the constriction evolution. In both cases, the fusion neutrons are produced by a beam-target mechanism, and the acceleration of fast electron- and deuteron-beams can be interpreted by transformation and decay of the magnetic field associated with a filamentary structure of the current flow in the plasmoid.

  12. Performance of a Discrete Wavelet Transform for Compressing Plasma Count Data and its Application to the Fast Plasma Investigation on NASA's Magnetospheric Multiscale Mission

    NASA Technical Reports Server (NTRS)

    Barrie, Alexander C.; Yeh, Penshu; Dorelli, John C.; Clark, George B.; Paterson, William R.; Adrian, Mark L.; Holland, Matthew P.; Lobell, James V.; Simpson, David G.; Pollock, Craig J.; hide

    2015-01-01

    Plasma measurements in space are becoming increasingly faster, higher resolution, and distributed over multiple instruments. As raw data generation rates can exceed available data transfer bandwidth, data compression is becoming a critical design component. Data compression has been a staple of imaging instruments for years, but only recently have plasma measurement designers become interested in high performance data compression. Missions will often use a simple lossless compression technique yielding compression ratios of approximately 2:1, however future missions may require compression ratios upwards of 10:1. This study aims to explore how a Discrete Wavelet Transform combined with a Bit Plane Encoder (DWT/BPE), implemented via a CCSDS standard, can be used effectively to compress count information common to plasma measurements to high compression ratios while maintaining little or no compression error. The compression ASIC used for the Fast Plasma Investigation (FPI) on board the Magnetospheric Multiscale mission (MMS) is used for this study. Plasma count data from multiple sources is examined: resampled data from previous missions, randomly generated data from distribution functions, and simulations of expected regimes. These are run through the compression routines with various parameters to yield the greatest possible compression ratio while maintaining little or no error, the latter indicates that fully lossless compression is obtained. Finally, recommendations are made for future missions as to what can be achieved when compressing plasma count data and how best to do so.

  13. Maternal and child nutritional supplementation are inversely associated with fasting plasma glucose concentration in young Guatemalan adults.

    PubMed

    Conlisk, Andrea J; Barnhart, Huiman X; Martorell, Reynaldo; Grajeda, Ruben; Stein, Aryeh D

    2004-04-01

    Cardiovascular disease and diabetes may be programmed early in life by abnormal development associated with undernutrition. We investigated whether maternal nutritional status (MNS; height, pregnancy weight gain, nonpregnant BMI, and prenatal supplementation) or childhood nutritional status (CNS; birth weight, length, ponderal index, height-for-age Z-score at 24 mo, and supplementation from 0 to 24 mo) were related to fasting plasma glucose levels in rural-born Guatemalan adults. We studied 209 men and 220 women (mean age 24.4 y) who were involved in a randomized trial of nutritional supplementation of their mothers during pregnancy and during their early childhoods, conducted from 1969 to 1977. In 2 villages, residents were offered Atole (3.8 MJ and 64 g protein/L); 2 other villages were offered Fresco (1.4 MJ/L, no protein). No associations were observed between anthropometric measures of MNS or CNS and fasting plasma glucose levels. In subgroup analyses, inverse associations (all P < 0.15) with birth size were found among women born to fatter mothers, women with low supplement intake, men born to short mothers, and men more severely stunted at 24 mo. Prenatal supplementation was inversely associated with fasting plasma glucose among women [-0.40 +/- 0.17 mmol/(L. MJ. d), P = 0.02]. Among men, postnatal intake of supplementation of 0.10 to 0.20 MJ/d was associated with up to a 0.56 mmol/L reduction in fasting plasma glucose (P = 0.03), but intake in excess of 0.20 MJ/d provided no added benefit. Among women, the benefit of postnatal supplementation was restricted to those born thin (test for interaction P = 0.10). Improving the nutritional status of undernourished women and children may have positive long-term consequences.

  14. Alfvén eigenmode stability and fast ion loss in DIII-D and ITER reversed magnetic shear plasmas

    NASA Astrophysics Data System (ADS)

    Van Zeeland, M. A.; Gorelenkov, N. N.; Heidbrink, W. W.; Kramer, G. J.; Spong, D. A.; Austin, M. E.; Fisher, R. K.; García Muñoz, M.; Gorelenkova, M.; Luhmann, N.; Murakami, M.; Nazikian, R.; Pace, D. C.; Park, J. M.; Tobias, B. J.; White, R. B.

    2012-09-01

    Neutral beam injection into reversed-magnetic shear DIII-D plasmas produces a variety of Alfvénic activity including toroidicity-induced Alfvén eigenmodes (TAEs) and reversed shear Alfvén eigenmodes (RSAEs). With measured equilibrium profiles as inputs, the ideal MHD code NOVA is used to calculate eigenmodes of these plasmas. The postprocessor code NOVA-K is then used to perturbatively calculate the actual stability of the modes, including finite orbit width and finite Larmor radius effects, and reasonable agreement with the spectrum of observed modes is found. Using experimentally measured mode amplitudes, fast ion orbit following simulations have been carried out in the presence of the NOVA calculated eigenmodes and are found to reproduce the dominant energy, pitch and temporal evolution of the losses measured using a large bandwidth scintillator diagnostic. The same analysis techniques applied to a DT 8 MA ITER steady-state plasma scenario with reversed-magnetic shear and both beam ion and alpha populations show Alfvén eigenmode instability. Both RSAEs and TAEs are found to be unstable with maximum growth rates occurring for toroidal mode number n = 6 and the majority of the drive coming from fast ions injected by the 1 MeV negative ion beams. AE instability due to beam ion drive is confirmed by the non-perturbative code TAEFL. Initial fast ion orbit following simulations using the unstable modes with a range of amplitudes (δB/B = 10-5-10-3) have been carried out and show negligible fast ion loss. The lack of fast ion loss is a result of loss boundaries being limited to large radii and significantly removed from the actual modes themselves.

  15. Biochemical diagnosis of phaeochromocytoma using plasma-free normetanephrine, metanephrine and methoxytyramine: importance of supine sampling under fasting conditions.

    PubMed

    Därr, Roland; Pamporaki, Christina; Peitzsch, Mirko; Miehle, Konstanze; Prejbisz, Aleksander; Peczkowska, Mariola; Weismann, Dirk; Beuschlein, Felix; Sinnott, Richard; Bornstein, Stefan R; Neumann, Hartmut P; Januszewicz, Andrzej; Lenders, Jacques; Eisenhofer, Graeme

    2014-04-01

    To document the influences of blood sampling under supine fasting versus seated nonfasting conditions on diagnosis of phaeochromocytomas and paragangliomas (PPGL) using plasma concentrations of normetanephrine, metanephrine and methoxytyramine. Biochemical testing for PPGL was performed on 762 patients at six centres, two of which complied with requirements for supine sampling after an overnight fast and four of which did not. Phaeochromocytomas and paragangliomas were found in 129 patients (67 noncompliant, 62 compliant) and not in 633 patients (195 noncompliant, 438 compliant). Plasma concentrations of normetanephrine and methoxytyramine did not differ between compliant and noncompliant sampling conditions in patients with PPGL but were 49-51% higher in patients without PPGL sampled under noncompliant compared with compliant conditions. The 97·5 percentiles of distributions were also higher under noncompliant compared with compliant conditions for normetanephrine (1·29 vs 0·79 nmol/l), metanephrine (0·49 vs 0·41 nmol/l) and methoxytyramine (0·42 vs 0·18 nmol/l). Use of upper cut-offs established from seated nonfasting sampling conditions resulted in substantially decreased diagnostic sensitivity (98% vs 85%). In contrast, use of upper cut-offs established from supine fasting conditions resulted in decreased diagnostic specificity for testing under noncompliant compared with compliant conditions (71% vs 95%). High diagnostic sensitivity of plasma normetanephrine, metanephrine and methoxytyramine for the detection of PPGL can only be guaranteed using upper cut-offs of reference intervals established with blood sampling under supine fasting conditions. With such cut-offs, sampling under seated nonfasting conditions can lead to a 5·7-fold increase in false-positive results necessitating repeat sampling under supine fasting conditions. © 2013 John Wiley & Sons Ltd.

  16. A study assessing the association of glycated hemoglobin A1C (HbA1C) associated variants with HbA1C, chronic kidney disease and diabetic retinopathy in populations of Asian ancestry.

    PubMed

    Chen, Peng; Ong, Rick Twee-Hee; Tay, Wan-Ting; Sim, Xueling; Ali, Mohammad; Xu, Haiyan; Suo, Chen; Liu, Jianjun; Chia, Kee-Seng; Vithana, Eranga; Young, Terri L; Aung, Tin; Lim, Wei-Yen; Khor, Chiea-Chuen; Cheng, Ching-Yu; Wong, Tien-Yin; Teo, Yik-Ying; Tai, E-Shyong

    2013-01-01

    Glycated hemoglobin A1C (HbA1C) level is used as a diagnostic marker for diabetes mellitus and a predictor of diabetes associated complications. Genome-wide association studies have identified genetic variants associated with HbA1C level. Most of these studies have been conducted in populations of European ancestry. Here we report the findings from a meta-analysis of genome-wide association studies of HbA1C levels in 6,682 non-diabetic subjects of Chinese, Malay and South Asian ancestries. We also sought to examine the associations between HbA1C associated SNPs and microvascular complications associated with diabetes mellitus, namely chronic kidney disease and retinopathy. A cluster of 6 SNPs on chromosome 17 showed an association with HbA1C which achieved genome-wide significance in the Malays but not in Chinese and Asian Indians. No other variants achieved genome-wide significance in the individual studies or in the meta-analysis. When we investigated the reproducibility of the findings that emerged from the European studies, six loci out of fifteen were found to be associated with HbA1C with effect sizes similar to those reported in the populations of European ancestry and P-value ≤ 0.05. No convincing associations with chronic kidney disease and retinopathy were identified in this study.

  17. A Study Assessing the Association of Glycated Hemoglobin A1C (HbA1C) Associated Variants with HbA1C, Chronic Kidney Disease and Diabetic Retinopathy in Populations of Asian Ancestry

    PubMed Central

    Chen, Peng; Ong, Rick Twee-Hee; Tay, Wan-Ting; Sim, Xueling; Ali, Mohammad; Xu, Haiyan; Suo, Chen; Liu, Jianjun; Chia, Kee-Seng; Vithana, Eranga; Young, Terri L.; Aung, Tin; Lim, Wei-Yen; Khor, Chiea-Chuen; Cheng, Ching-Yu; Wong, Tien-Yin; Teo, Yik-Ying; Tai, E-Shyong

    2013-01-01

    Glycated hemoglobin A1C (HbA1C) level is used as a diagnostic marker for diabetes mellitus and a predictor of diabetes associated complications. Genome-wide association studies have identified genetic variants associated with HbA1C level. Most of these studies have been conducted in populations of European ancestry. Here we report the findings from a meta-analysis of genome-wide association studies of HbA1C levels in 6,682 non-diabetic subjects of Chinese, Malay and South Asian ancestries. We also sought to examine the associations between HbA1C associated SNPs and microvascular complications associated with diabetes mellitus, namely chronic kidney disease and retinopathy. A cluster of 6 SNPs on chromosome 17 showed an association with HbA1C which achieved genome-wide significance in the Malays but not in Chinese and Asian Indians. No other variants achieved genome-wide significance in the individual studies or in the meta-analysis. When we investigated the reproducibility of the findings that emerged from the European studies, six loci out of fifteen were found to be associated with HbA1C with effect sizes similar to those reported in the populations of European ancestry and P-value ≤ 0.05. No convincing associations with chronic kidney disease and retinopathy were identified in this study. PMID:24244560

  18. In Flight Calibration of the Magnetospheric Multiscale Mission Fast Plasma Investigation

    NASA Technical Reports Server (NTRS)

    Barrie, Alexander C.; Gershman, Daniel J.; Gliese, Ulrik; Dorelli, John C.; Avanov, Levon A.; Salo, Chad L.; Tucker, Corey J.; Holland, Mathew P.; Pollock, Craig J.

    2015-01-01

    The Fast Plasma Investigation (FPI) on the Magnetospheric Multiscale mission (MMS) combines data from eight spectrometers, each with four deflection states, into a single map of the sky. Any systematic discontinuity, artifact, noise source, etc. present in this map may be incorrectly interpreted as legitimate data and incorrect conclusions reached. For this reason it is desirable to have all spectrometers return the same output for a given input, and for this output to be low in noise sources or other errors. While many missions use statistical analyses of data to calibrate instruments in flight, this process is difficult with FPI for two reasons: 1. Only a small fraction of high resolution data is downloaded to the ground due to bandwidth limitations and 2: The data that is downloaded is, by definition, scientifically interesting and therefore not ideal for calibration. FPI uses a suite of new tools to calibrate in flight. A new method for detection system ground calibration has been developed involving sweeping the detection threshold to fully define the pulse height distribution. This method has now been extended for use in flight as a means to calibrate MCP voltage and threshold (together forming the operating point) of the Dual Electron Spectrometers (DES) and Dual Ion Spectrometers (DIS). A method of comparing higher energy data (which has low fractional voltage error) to lower energy data (which has a higher fractional voltage error) will be used to calibrate the high voltage outputs. Finally, a comparison of pitch angle distributions will be used to find remaining discrepancies among sensors.

  19. Combined fast selective reduction using Mn-based catalysts and nonthermal plasma for NOx removal.

    PubMed

    Chen, Jun Xiang; Pan, Kuan Lun; Yu, Sheng Jen; Yen, Shaw Yi; Chang, Moo Been

    2017-07-26

    In this study, the concept of fast SCR for NO reduction with NH3 as reducing agent is realized via the combination of nonthermal plasma (NTP) with Mn-based catalyst. Experimental results indicate that 10% wt. Mn-Ce-Ni/TiO2 possesses better physical and chemical properties of surface, resulting in higher NO removal efficiency if compared with 10% wt. Mn-Ce/TiO2 and 10% wt. Mn-Ce-Cu/TiO2. Mn-Ce-Ni/TiO2 of 10% wt. achieves 100% NOx conversion at 150 °C, while 10% wt. Mn-Ce/TiO2 and 10% wt. Mn-Ce-Cu/TiO2 need to be operated at a temperature above 200 °C for 100% NOx conversion. However, NO conversion achieved with 10% wt. Mn-Ce-Ni/TiO2 is significantly reduced as H2O(g) and SO2 are introduced into the SCR system simultaneously. Further, two-stage system (SCR with DBD) is compared with the catalyst-alone for NOx conversion and N2 selectivity. The results indicate that 100% NOx conversion can be achieved with two-stage system at 100 °C, while N2 selectivity reaches 80%. Importantly, NOx conversion achieved with two-stage system could maintain >95% in the presence of C2H4, CO, SO2, and H2O(g), indicating that two-stage system has better tolerance for complicated gas composition. Overall, this study demonstrates that combining NTP with Mn-based catalyst is effective in reducing NOx emission at a low temperature (≤200 °C) and has good potential for industrial application.

  20. FAST MAGNETIC FIELD AMPLIFICATION IN THE EARLY UNIVERSE: GROWTH OF COLLISIONLESS PLASMA INSTABILITIES IN TURBULENT MEDIA

    SciTech Connect

    Falceta-Gonçalves, D.; Kowal, G.

    2015-07-20

    In this work we report on a numerical study of the cosmic magnetic field amplification due to collisionless plasma instabilities. The collisionless magnetohydrodynamic equations derived account for the pressure anisotropy that leads, in specific conditions, to the firehose and mirror instabilities. We study the time evolution of seed fields in turbulence under the influence of such instabilities. An approximate analytical time evolution of the magnetic field is provided. The numerical simulations and the analytical predictions are compared. We found that (i) amplification of the magnetic field was efficient in firehose-unstable turbulent regimes, but not in the mirror-unstable models; (ii) the growth rate of the magnetic energy density is much faster than the turbulent dynamo; and (iii) the efficient amplification occurs at small scales. The analytical prediction for the correlation between the growth timescales and pressure anisotropy is confirmed by the numerical simulations. These results reinforce the idea that pressure anisotropies—driven naturally in a turbulent collisionless medium, e.g., the intergalactic medium, could efficiently amplify the magnetic field in the early universe (post-recombination era), previous to the collapse of the first large-scale gravitational structures. This mechanism, though fast for the small-scale fields (∼kpc scales), is unable to provide relatively strong magnetic fields at large scales. Other mechanisms that were not accounted for here (e.g., collisional turbulence once instabilities are quenched, velocity shear, or gravitationally induced inflows of gas into galaxies and clusters) could operate afterward to build up large-scale coherent field structures in the long time evolution.

  1. In Flight Calibration of the Magnetospheric Multisale Mission Fast Plasma Investigation: Initial Flight Result

    NASA Astrophysics Data System (ADS)

    Barrie, A.; Gliese, U.; Gershman, D. J.; Avanov, L. A.; Rager, A. C.; Pollock, C. J.; Dorelli, J.

    2015-12-01

    The Fast Plasma Investigation (FPI) on the Magnetospheric Multiscale mission (MMS) combines data from eight spectrometers, each with four deflection states, into a single map of the sky. Any systematic discontinuity, artifact, noise source, etc. present in this map may be incorrectly interpreted as legitimate data and incorrect conclusions reached. For this reason it is desirable to have all spectrometers return the same output for a given input, and for this output to be low in noise sources or other errors. While many missions use statistical analyses of data to calibrate instruments in flight, this process is difficult with FPI for two reasons: 1. Only a small fraction of high resolution data is downloaded to the ground due to bandwidth limitations and 2: The data that is downloaded is, by definition, scientifically interesting and therefore not ideal for calibration. FPI uses a suite of new tools to calibrate in flight. A new method for detection system ground calibration has been developed involving sweeping the detection threshold to fully define the pulse height distribution. This method has now been extended for use in flight as a means to calibrate MCP voltage and threshold (together forming the operating point) of the Dual Electron Spectrometers (DES) and Dual Ion Spectrometers (DIS). A method of comparing higher energy data (which has low fractional voltage error) to lower energy data (which has a higher fractional voltage error) will be used to calibrate the high voltage outputs. Finally, a comparison of pitch angle distributions will be used to find remaining discrepancies among sensors. Initial flight results from the four MMS observatories will be discussed here. Specifically, data from initial commissioning, inter-instrument cross calibration and interference testing, and initial Phase1A routine calibration results. Success and performance of the in flight calibration as well as deviation from the ground calibration will be discussed.

  2. Fast screening of analytes for chemical reactions by reactive low-temperature plasma ionization mass spectrometry.

    PubMed

    Zhang, Wei; Huang, Guangming

    2015-11-15

    Approaches for analyte screening have been used to aid in the fine-tuning of chemical reactions. Herein, we present a simple and straightforward analyte screening method for chemical reactions via reactive low-temperature plasma ionization mass spectrometry (reactive LTP-MS). Solution-phase reagents deposited on sample substrates were desorbed into the vapor phase by action of the LTP and by thermal desorption. Treated with LTP, both reagents reacted through a vapor phase ion/molecule reaction to generate the product. Finally, protonated reagents and products were identified by LTP-MS. Reaction products from imine formation reaction, Eschweiler-Clarke methylation and the Eberlin reaction were detected via reactive LTP-MS. Products from the imine formation reaction with reagents substituted with different functional groups (26 out of 28 trials) were successfully screened in a time of 30 s each. Besides, two short-lived reactive intermediates of Eschweiler-Clarke methylation were also detected. LTP in this study serves both as an ambient ionization source for analyte identification (including reagents, intermediates and products) and as a means to produce reagent ions to assist gas-phase ion/molecule reactions. The present reactive LTP-MS method enables fast screening for several analytes from several chemical reactions, which possesses good reagent compatibility and the potential to perform high-throughput analyte screening. In addition, with the detection of various reactive intermediates (intermediates I and II of Eschweiler-Clarke methylation), the present method would also contribute to revealing and elucidating reaction mechanisms. Copyright © 2015 John Wiley & Sons, Ltd.

  3. In Flight Calibration of the Magnetospheric Multiscale Mission Fast Plasma Investigation

    NASA Technical Reports Server (NTRS)

    Barrie, Alexander C.; Gershman, Daniel J.; Gliese, Ulrik; Dorelli, John C.; Avanov, Levon A.; Rager, Amy C.; Schiff, Conrad; Pollock, Craig J.

    2015-01-01

    The Fast Plasma Investigation (FPI) on the Magnetospheric Multiscale mission (MMS) combines data from eight spectrometers, each with four deflection states, into a single map of the sky. Any systematic discontinuity, artifact, noise source, etc. present in this map may be incorrectly interpreted as legitimate data and incorrect conclusions reached. For this reason it is desirable to have all spectrometers return the same output for a given input, and for this output to be low in noise sources or other errors. While many missions use statistical analyses of data to calibrate instruments in flight, this process is insufficient with FPI for two reasons: 1. Only a small fraction of high resolution data is downloaded to the ground due to bandwidth limitations and 2: The data that is downloaded is, by definition, scientifically interesting and therefore not ideal for calibration. FPI uses a suite of new tools to calibrate in flight. A new method for detection system ground calibration has been developed involving sweeping the detection threshold to fully define the pulse height distribution. This method has now been extended for use in flight as a means to calibrate MCP voltage and threshold (together forming the operating point) of the Dual Electron Spectrometers (DES) and Dual Ion Spectrometers (DIS). A method of comparing higher energy data (which has low fractional voltage error) to lower energy data (which has a higher fractional voltage error) will be used to calibrate the high voltage outputs. Finally, a comparison of pitch angle distributions will be used to find remaining discrepancies among sensors.

  4. A global study of the unmet need for glycemic control and predictor factors among patients with type 2 diabetes mellitus who have achieved optimal fasting plasma glucose control on basal insulin.

    PubMed

    Raccah, Denis; Chou, Engels; Colagiuri, Stephen; Gaàl, Zsolt; Lavalle, Fernando; Mkrtumyan, Ashot; Nikonova, Elena; Tentolouris, Nikolaos; Vidal, Josep; Davies, Melanie

    2017-03-01

    This study used data from different sources to identify the extent of the unmet need for postprandial glycemic control in patients with type 2 diabetes mellitus (T2DM) after the initiation of basal insulin therapy in Europe, Asia Pacific, the United States, and Latin America. Different levels of evidence were used as available for each country/region, with data extracted from seven randomized controlled trials (RCTs), three clinical trial registries (CTRs), and three electronic medical record (EMR) databases. Glycemic status was categorized as "well controlled" (glycated hemoglobin [HbA1c ] at target [<7%]), "residual hyperglycemia" (fasting plasma glucose [FPG] but not HbA1c at target [FPG <7.2/7.8 mmol/L, <130/140 mg/dL, depending on country-specific recommendations]), or "uncontrolled" (both FPG and HbA1c above target). Predictor factors were identified from the RCT data set using logistic regression analysis. RCT data showed that 16.9% to 28.0%, 42.7% to 54.4%, and 16.9% to 38.1% of patients with T2DM had well-controlled glycemia, residual hyperglycemia, and uncontrolled hyperglycemia, respectively. In CTRs, respective ranges were 21.8% to 33.6%, 31.5% to 35.6%, and 30.7% to 46.8%, and in EMR databases were 4.4% to 21.0%, 23.9% to 31.8%, and 53.6% to 63.8%. Significant predictor factors of residual hyperglycemia identified from RCT data included high baseline HbA1c (all countries/regions except Brazil), high baseline FPG (United Kingdom/Japan), longer duration of diabetes (Brazil), and female sex (Europe/Latin America). Irrespective of intrinsic differences between data sources, 24% to 54% of patients with T2DM globally had residual hyperglycemia with HbA1c not at target, despite achieving FPG control, indicating a significant unmet need for postprandial glycemic control. © 2016 The Authors. Diabetes/Metabolism Research and Reviews published by John Wiley & Sons Ltd.

  5. A global study of the unmet need for glycemic control and predictor factors among patients with type 2 diabetes mellitus who have achieved optimal fasting plasma glucose control on basal insulin

    PubMed Central

    Chou, Engels; Colagiuri, Stephen; Gaàl, Zsolt; Lavalle, Fernando; Mkrtumyan, Ashot; Nikonova, Elena; Tentolouris, Nikolaos; Vidal, Josep; Davies, Melanie

    2016-01-01

    Abstract Background This study used data from different sources to identify the extent of the unmet need for postprandial glycemic control in patients with type 2 diabetes mellitus (T2DM) after the initiation of basal insulin therapy in Europe, Asia Pacific, the United States, and Latin America. Methods Different levels of evidence were used as available for each country/region, with data extracted from seven randomized controlled trials (RCTs), three clinical trial registries (CTRs), and three electronic medical record (EMR) databases. Glycemic status was categorized as “well controlled” (glycated hemoglobin [HbA1c] at target [<7%]), “residual hyperglycemia” (fasting plasma glucose [FPG] but not HbA1c at target [FPG <7.2/7.8 mmol/L, <130/140 mg/dL, depending on country‐specific recommendations]), or “uncontrolled” (both FPG and HbA1c above target). Predictor factors were identified from the RCT data set using logistic regression analysis. Results RCT data showed that 16.9% to 28.0%, 42.7% to 54.4%, and 16.9% to 38.1% of patients with T2DM had well‐controlled glycemia, residual hyperglycemia, and uncontrolled hyperglycemia, respectively. In CTRs, respective ranges were 21.8% to 33.6%, 31.5% to 35.6%, and 30.7% to 46.8%, and in EMR databases were 4.4% to 21.0%, 23.9% to 31.8%, and 53.6% to 63.8%. Significant predictor factors of residual hyperglycemia identified from RCT data included high baseline HbA1c (all countries/regions except Brazil), high baseline FPG (United Kingdom/Japan), longer duration of diabetes (Brazil), and female sex (Europe/Latin America). Conclusions Irrespective of intrinsic differences between data sources, 24% to 54% of patients with T2DM globally had residual hyperglycemia with HbA1c not at target, despite achieving FPG control, indicating a significant unmet need for postprandial glycemic control. PMID:27606888

  6. Fast Plasma Shutdowns Obtained With Massive Hydrogenic, Noble and Mixed-Gas Injection in DIII-D

    SciTech Connect

    Wesley, J; Hollmann, E; Jernigan, T; Van Zeeland, M; Baylor, L; Boedo, J; Combs, S; Evans, T; Groth, M; Humphreys, D; Hyatt, A; Izzo, V; James, A; Moyer, R; Parks, P; Rudakov, D; Strait, E; Wu, W; Yu, J

    2008-10-14

    Massive gas injection (MGI) experiments with H{sub 2}, D{sub 2}, He, Ne and Ar and 'mixed' (H{sub 2} + Ar and D{sub 2} + Ne) gases injected into 'ITER-similar' 1.3-MA H-mode plasmas are described. Gas species, injected quantity Q, delivery time, t{sub inj}, rate-of-rise and intrinsic and added impurities are found to affect the attributes and 'disruption mitigation' efficacies of the resulting fast plasma shutdowns. With sufficient Q and t{sub inj} < {approx}2 ms, all species provide fast (within {le} {approx}3 ms), more-or-less uniform radiative dissipation of the 0.7-MJ plasma thermal energy and fast but benign current decays with reduced vacuum vessel vertical force impulse. With pure and mixed low-Z gases, free-electron densities up to 2 x 10{sup 21} m{sup -3} are obtained. While these densities are high relative to normal tokamak densities, they are still an order of magnitude smaller than the densities required for unconditional mitigation of the runaway electron avalanche process. Key information relevant to the design of effective MGI systems for larger tokamaks and ITER has been obtained and the collective species and Q-variation data provides a rich basis for validation of emerging 2D + t MHD/transport/radiation models.

  7. Fasting and diet content affect stress-induced changes in plasma glucose and cortisol in Juvenile chinook salmon. [Oncorhynchus tshawytscha

    SciTech Connect

    Barton, B.A.; Schreck, C.B. ); Fowler, L.G. )

    1988-01-01

    Juvenile chinook salmon (Oncorhynchus tshawytscha) reared on low-, medium-, or high-lipid diets for 18 weeks were either kept on their respective diets or fasted for 20 d; then they were subjected to a 30-s handling stress or to handling plus continuous confinement. In fish that were handled but not confined, poststress hyperglycemia was greatest in fed fish that received the high-lipid diet and was generally lower in fasted than in fed fish. Plasma cortisol elevations in response to handling or handling plus confinement stress were not appreciably affected by diet type or fasting. The result indicated that prior feeding regimes and the types of diet fed should be considered when one is interpreting the magnitude of hyperglycemic stress responses in juvenile chinook salmon.

  8. Effect of low glycemic load diet on glycated hemoglobin (HbA1c) in poorly-controlled diabetes patients.

    PubMed

    Ziaee, Amir; Afaghi, Ahmad; Sarreshtehdari, Majied

    2011-12-29

    Different carbohydrate diets have been administrated to diabetic patients to evaluate the glycemic response, while Poor-controlled diabetes is increasing world wide. To investigate the role of an alternative carbohydrate diet on glycemic control, we explored the effect of a low glycemic load (Low GL)-high fat diet on glycemic response and also glycated hemoglobin (HbA1c) of poor-controlled diabetes patients. Hundred poorly-controlled diabetes patients, HbA1c > 8, age 52.8 ± 4.5 y, were administrated a low GL diet , GL = 67 (Energy 1800 kcal; total fat 36%; fat derived from olive oil and nuts 15%; carbohydrate 42%; protein 22%) for 10 weeks. Patients did their routine life style program during intervention. Fasting blood glucose and HbA1c before and after intervention with significant reduction were: 169 ± 17, 141 ± 12; 8.85% (73 mmol/mol) ± 0.22%, and 7.81% (62 mmol/mol) ± 0.27%; respectively (P < 0.001). Mean fasting blood glucose reduced by 28.1 ± 12.5 and HbA1c by 1.1% (11 mmol/mol) ± 0.3% (P=0.001). There was positive moderate correlation between HbA1c concentration before intervention and FBS reduction after intervention (P < 0.001, at 0.01 level, R =0.52), and strong positive correlation between FBS before intervention and FBS reduction (P < 0.001, at 0.01 level, R = 0.70). This study demonstrated that our alternative low glycemic load diet can be effective in glycemic control.

  9. Unfavorable inflammatory profile in adults at risk of type 2 diabetes identified by hemoglobin A1c levels according to the American Diabetes Association criteria.

    PubMed

    Fiorentino, T V; Hribal, M L; Perticone, M; Andreozzi, F; Sciacqua, A; Perticone, F; Sesti, G

    2015-04-01

    We aimed to evaluate the inflammatory profile of individuals with prediabetes defined by HbA1c levels, according to the new American Diabetes Association criteria, and to determine the ability of HbA1c to identify individuals with subclinical inflammation independently of the contribution of other metabolic parameters such as fasting, 1- or 2-h post-load glucose (PG) levels. High sensitivity C-reactive protein (hsCRP), erythrocyte sedimentation rate (ESR), fibrinogen, white blood cells (WBC) count and complement C3 (C3) were assessed, and oral glucose tolerance test (OGTT) was performed in 711 adults. Subjects were stratified into three groups according to their HbA1c levels. Poor agreement existed between HbA1c and 2-h PG criteria for identification of individuals with prediabetes (κ coefficient = 0.300). As compared with subjects having HbA1c <5.7 % (39 mmol/mol), individuals with prediabetes (HbA1c 5.7-6.4 %, [39-46 mmol/mol]) exhibited a significant increase of the concentration of five inflammatory markers (hsCRP, ESR, fibrinogen, WBC count, C3) as well as of a cluster of inflammatory markers, as measured by an inflammatory score after adjusting for sex, age, smoking, fasting, 1- and 2-h PG levels. In multiple regression models including sex, age, body mass index, smoking habit, fasting, 1- and 2-h PG levels, and HOMA index, HbA1c levels were significant independent contributors to each of the five inflammatory markers examined. These data suggest that HbA1c is a reliable marker of glucose homeostasis, and may identify individuals at increased risk of diabetes with unfavorable inflammatory profile independently from fasting and 2-h PG levels.

  10. Heat flux of fast electrons to the limiter in lower hybrid current drive plasma on WT-3

    NASA Astrophysics Data System (ADS)

    Maekawa, T.; Nakamura, M.; Komatsu, T.; Kishino, T.; Kishigami, Y.; Makino, K.; Maehara, T.; Minami, T.; Hanada, K.; Iida, M.; Terumichi, Y.; Tanaka, S.

    1992-10-01

    The heat flux of fast electrons to the local limiter in LHCD plasmas in WT-3 has been investigated by thermal measurement of the limiter. The amount of the heat flux (PFE) is found to be about on third of the net radiofrequency power (Prf) injected into the plasma for various discharge conditions. The results combined with other measurements show that the confinement of fast electrons deteriorates as Prf increases. This direct loss of fast electrons is one of the causes of the degradation of the current drive efficiency. Heat transport of the bulk electrons is also found to increase as Prf increases. Experimental results indicate that a significant part of the remaining RF power (2Prf/3) flows to the bulk electrons. The slowing down power of fast electrons in the energy range above several tens of keV is estimated to be quite small compared with 2Prf/3, suggesting that a significant part of the remaining power flows to the bulk electrons via other channels. A plausible channel is the absorption of RF power via lower energy electrons by an upshift of the parallel refractive index of the injected lower hybrid waves. This seems to be another cause of the degradation of the current drive efficiency

  11. DPP-4 inhibitor treatment: β-cell response but not HbA1c reduction is dependent on the duration of diabetes

    PubMed Central

    Kozlovski, Plamen; Bhosekar, Vaishali; Foley, James E

    2017-01-01

    Introduction Dipeptidyl peptidase-4 (DPP-4) inhibitors reduce hyperglycemia in patients with type 2 diabetes mellitus (T2DM) by enhancing insulin and suppressing glucagon secretion. Since T2DM is associated with progressive loss of β-cell function, we hypothesized that the DPP-4 inhibitor action to improve β-cell function would be attenuated with longer duration of T2DM. Methods Data from six randomized, placebo-controlled trials of 24 weeks duration, where β-cell response to vildagliptin 50 mg twice daily was assessed, were pooled. In each study, the insulin secretory rate relative to glucose (ISR/G 0–2h) during glucose load (standard meal or oral glucose tolerance test) was assessed at baseline and end of study. The mean placebo-subtracted difference (PSD) in the change in ISR/G 0–2h from baseline for each study was evaluated as a function of age, duration of T2DM, baseline ISR/G 0–2h, glycated hemoglobin (HbA1c), fasting plasma glucose, body mass index, and mean PSD in the change in HbA1c from baseline, using univariate model. Results There was a strong negative association between the PSD in the change from baseline in ISR/G 0–2h and duration of T2DM (r= −0.89, p<0.02). However, there was no association between the PSD in the change from baseline in ISR/G 0–2h and the PSD in the change from baseline in HbA1c (r=0.33, p=0.52). None of the other characteristics were significantly associated with mean PSD change in ISR/G 0–2h. Conclusion These findings indicate that the response of the β-cell, but not the HbA1c reduction, with vildagliptin is dependent on duration of T2DM. Further, it can be speculated that glucagon suppression may become the predominant mechanism via which glycemic control is improved when treatment with a DPP-4 inhibitor, such as vildagliptin, is initiated late in the natural course of T2DM. PMID:28408838

  12. A fast, magnetics-free flux surface estimation and q-profile reconstruction algorithm for feedback control of plasma profiles

    NASA Astrophysics Data System (ADS)

    Hommen, G.; de Baar, M.; Citrin, J.; de Blank, H. J.; Voorhoeve, R. J.; de Bock, M. F. M.; Steinbuch, M.; contributors, JET-EFDA

    2013-02-01

    The flux surfaces' layout and the magnetic winding number q are important quantities for the performance and stability of tokamak plasmas. Normally, these quantities are iteratively derived by solving the plasma equilibrium for the poloidal and toroidal flux. In this work, a fast, non-iterative and magnetics-free numerical method is proposed to estimate the shape of the flux surfaces by an inward propagation of the plasma boundary shape, as can be determined for example by optical boundary reconstruction described in Hommen (2010 Rev. Sci. Instrum. 81 113504), toward the magnetic axis, as can be determined independently with the motional Stark effect (MSE) diagnostic. Flux surfaces are estimated for various plasma regimes in the ITER, JET and MAST tokamaks and are compared with results of CRONOS reconstructions and simulations, showing agreement to within 1% of the minor radius for almost all treated plasmas. The availability of the flux surface shapes combined with the pitch angles measured using MSE allow the reconstruction of the plasma q-profile, by evaluating the contour-integral over the flux surfaces of the magnetic field pitch angle. This method provides a direct and exact measure of the q-profile for arbitrary flux surface shapes, which does not rely on magnetic measurements. Results based on estimated flux surface shapes show agreement with CRONOS q-profiles of better than 10%. The impact of the shape of the flux surfaces on the q-profile, particularly the profiles of elongation and Shafranov shift, and offsets in plasma boundary and the magnetic axis are assessed. OFIT+ was conceived for real-time plasma profile control experiments and advanced tokamak operation, and provides quickly and reliably the mapping of actuators and sensors to the minor radius as well as the plasma q-profile, independent of magnetic measurements.

  13. Microwave plasma generation by the fast rotation and slow pulsation of resonant fields in a cylindrical cavity

    NASA Astrophysics Data System (ADS)

    Hasegawa, Yuichi; Nakamura, Keiji; Lubomirsky, Dima; Park, Soonam; Kobayashi, Satoru; Sugai, Hideo

    2017-04-01

    A digitally controlled solid-state microwave generator allowing variable frequency operation and precise phase control is adopted for plasma generation. In this study, a resonant cylindrical cavity is used as a microwave applicator in place of conventional waveguides. In order to improve the plasma uniformity, the TE111 mode is agitated by injecting microwaves into the cavity from two spatially orthogonal directions, with a temporal phase difference ϕ. Theoretical analyses and finite-difference time-domain simulations derive the following effects of the phase control. In the case of ϕ = ±π/2, fast rotation of the cavity field takes place with a rotational frequency of ω/2π (= 2.4-2.5 GHz), where ω denotes the microwave angular frequency. On the other hand, when ϕ is linearly modulated in time with a low frequency of Ω/2π (= 0.1-1000 Hz), slow pulsation takes place, in which the cavity field alternately excites a circular rotation and a standing oscillation at the modulation frequency. These effects are experimentally confirmed in microwave discharges in argon at 0.1-20 Torr with total injection powers from 50 to 800 W. Two-dimensional images of the optical emission from the generated plasma show that both the fast rotation and slow pulsation improve azimuthal plasma uniformity.

  14. Signal enhancement of neutral He emission lines by fast electron bombardment of laser-induced He plasma

    SciTech Connect

    Suyanto, Hery; Pardede, Marincan; Hedwig, Rinda; Marpaung, Alion Mangasi; Ramli, Muliadi; Lie, Tjung Jie; Kurniawan, Koo Hendrik; Abdulmadjid, Syahrun Nur; Tjia, May On; Kagawa, Kiichiro

    2016-08-15

    A time-resolved spectroscopic study is performed on the enhancement signals of He gas plasma emission using nanosecond (ns) and picosecond (ps) lasers in an orthogonal configuration. The ns laser is used for the He gas plasma generation and the ps laser is employed for the ejection of fast electrons from a metal target, which serves to excite subsequently the He atoms in the plasma. The study is focused on the most dominant He I 587.6 nm and He I 667.8 nm emission lines suggested to be responsible for the He-assisted excitation (HAE) mechanism. The time-dependent intensity enhancements induced by the fast electrons generated with a series of delayed ps laser ablations are deduced from the intensity time profiles of both He emission lines. The results clearly lead to the conclusion that the metastable excited triplet He atoms are actually the species overwhelmingly produced during the recombination process in the ns laser-induced He gas plasma. These metastable He atoms are believed to serve as the major energy source for the delayed excitation of analyte atoms in ns laser-induced breakdown spectroscopy (LIBS) using He ambient gas.

  15. Signal enhancement of neutral He emission lines by fast electron bombardment of laser-induced He plasma

    NASA Astrophysics Data System (ADS)

    Suyanto, Hery; Pardede, Marincan; Hedwig, Rinda; Marpaung, Alion Mangasi; Ramli, Muliadi; Lie, Tjung Jie; Abdulmadjid, Syahrun Nur; Kurniawan, Koo Hendrik; Tjia, May On; Kagawa, Kiichiro

    2016-08-01

    A time-resolved spectroscopic study is performed on the enhancement signals of He gas plasma emission using nanosecond (ns) and picosecond (ps) lasers in an orthogonal configuration. The ns laser is used for the He gas plasma generation and the ps laser is employed for the ejection of fast electrons from a metal target, which serves to excite subsequently the He atoms in the plasma. The study is focused on the most dominant He I 587.6 nm and He I 667.8 nm emission lines suggested to be responsible for the He-assisted excitation (HAE) mechanism. The time-dependent intensity enhancements induced by the fast electrons generated with a series of delayed ps laser ablations are deduced from the intensity time profiles of both He emission lines. The results clearly lead to the conclusion that the metastable excited triplet He atoms are actually the species overwhelmingly produced during the recombination process in the ns laser-induced He gas plasma. These metastable He atoms are believed to serve as the major energy source for the delayed excitation of analyte atoms in ns laser-induced breakdown spectroscopy (LIBS) using He ambient gas.

  16. The Long and Winding Road to Optimal HbA1c Measurement

    PubMed Central

    Little, Randie R.; Rohlfing, Curt

    2016-01-01

    The importance of hemoglobin A1c (HbA1c) as an indicator of mean glycemia and risks for complications in patients with diabetes mellitus was established by the results of long-term clinical trials, most notably the Diabetes Control and Complications Trial (DCCT) and United Kingdom Prospective Diabetes Study (UKPDS), published in 1993 and 1998 respectively. However, clinical application of recommended HbA1c targets that were based on these studies was difficult due to lack of comparability of HbA1c results among assay methods and laboratories. Thus, the National Glycohemoglobin Standardization Program (NGSP) was initiated in 1996 with the goal of standardizing HbA1c results to those of the DCCT/UKPDS. HbA1c standardization efforts have been highly successful; however, a number of issues have emerged on the “long and winding road” to better HbA1c, including the development of a higher-order HbA1c reference method by the International Federation of Clinical Chemistry (IFCC), recommendations to use HbA1c to diagnose as well as monitor diabetes, and point-of-care (POC) HbA1c testing. Here, we review the past, present and future of HbA1c standardization and describe the current status of HbA1c testing, including limitations that healthcare providers need to be aware of when interpreting HbA1c results. PMID:23318564

  17. Fast quantification of endogenous carbohydrates in plasma using hydrophilic interaction liquid chromatography coupled with tandem mass spectrometry.

    PubMed

    Zhu, Bangjie; Liu, Feng; Li, Xituo; Wang, Yan; Gu, Xue; Dai, Jieyu; Wang, Guiming; Cheng, Yu; Yan, Chao

    2015-01-01

    Endogenous carbohydrates in biosamples are frequently highlighted as the most differential metabolites in many metabolomics studies. A simple, fast, simultaneous quantitative method for 16 endogenous carbohydrates in plasma has been developed using hydrophilic interaction liquid chromatography coupled with tandem mass spectrometry. In order to quantify 16 endogenous carbohydrates in plasma, various conditions, including columns, chromatographic conditions, mass spectrometry conditions, and plasma preparation methods, were investigated. Different conditions in this quantified analysis were performed and optimized. The reproducibility, precision, recovery, matrix effect, and stability of the method were verified. The results indicated that a methanol/acetonitrile (50:50, v/v) mixture could effectively and reproducibly precipitate rat plasma proteins. Cold organic solvents coupled with vortex for 1 min and incubated at -20°C for 20 min were the most optimal conditions for protein precipitation and extraction. The results, according to the linearity, recovery, precision, matrix effect, and stability, showed that the method was satisfactory in the quantification of endogenous carbohydrates in rat plasma. The quantified analysis of endogenous carbohydrates in rat plasma performed excellently in terms of sensitivity, high throughput, and simple sample preparation, which met the requirement of quantification in specific expanded metabolomic studies after the global metabolic profiling research.

  18. Point-of-Care Hemoglobin A1c Testing: An Evidence-Based Analysis.

    PubMed

    2014-01-01

    The increasing prevalence of diabetes in Ontario means that there will be growing demand for hemoglobin A1c (HbA1c) testing to monitor glycemic control for the management of this chronic disease. Testing HbA1c where patients receive their diabetes care may improve system efficiency if the results from point-of-care HbA1c testing are comparable to those from laboratory HbA1c measurements. To review the correlation between point-of-care HbA1c testing and laboratory HbA1c measurement in patients with diabetes in clinical settings. The literature search included studies published between January 2003 and June 2013. Search terms included glycohemoglobin, hemoglobin A1c, point of care, and diabetes. Studies were included if participants had diabetes; if they compared point-of-care HbA1c devices (licensed by Health Canada and available in Canada) with laboratory HbA1c measurement (reference method); if they performed point-of-care HbA1c testing using capillary blood samples (finger pricks) and laboratory HbA1c measurement using venous blood samples within 7 days; and if they reported a correlation coefficient between point-of-care HbA1c and laboratory HbA1c results. Three point-of-care HbA1c devices were reviewed in this analysis: Bayer's A1cNow+, Bio-Rad's In2it, and Siemens' DCA Vantage. Five observational studies met the inclusion criteria. The pooled results showed a positive correlation between point-of-care HbA1c testing and laboratory HbA1c measurement (correlation coefficient, 0.967; 95% confidence interval, 0.960-0.973). Outcomes were limited to the correlation coefficient, as this was a commonly reported measure of analytical performance in the literature. Results should be interpreted with caution due to risk of bias related to selection of participants, reference standards, and the multiple steps involved in POC HbA1c testing. Moderate quality evidence showed a positive correlation between point-of-care HbA1c testing and laboratory HbA1c measurement. Five

  19. Parametric Excitations of Fast Plasma Waves by Counter-propagating Laser Beams

    SciTech Connect

    G. Shvets; N.J. Fisch

    2001-03-19

    Short- and long-wavelength plasma waves can become strongly coupled in the presence of two counter-propaga