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Accumulating evidence has demonstrated that both SGLT2 inhibitors (SGLT2i) and GLP-1 receptor agonists (GLP1Ra) have protective effects in patients with diabetic kidney disease. Combination therapy with SGLT2i and GLP1Ra is commonly used in patients with type 2 diabetes (T2D). We previously reported that in combination therapy of SGLT2i and GLP1Ra, the effect on the renal composite outcome did not differ according to the preceding drug. However, it remains unclear how the initiation of combination therapy is associated with the renal function depending on the preceding drug. In this post hoc analysis, we analyzed a total of 643 T2D patients (GLP1Ra-preceding group, n = 331; SGLT2i-preceding group, n = 312) and investigated the differences in annual eGFR decline. Multiple imputation and propensity score matching were performed to compare the annual eGFR decline. The reduction in annual eGFR decline in the SGLT2i-preceding group (pre: −3.5 ± 9.4 mL/min/1.73 m2/year, post: −0.4 ± 6.3 mL/min/1.73 m2/year, p < 0.001), was significantly smaller after the initiation of GLP1Ra, whereas the GLP1Ra-preceding group tended to slow the eGFR decline but not to a statistically significant extent (pre: −2.0 ± 10.9 mL/min/1.73 m2/year, post: −1.8 ± 5.4 mL/min/1.73 m2/year, p = 0.83) after the initiation of SGLT2i. After the addition of GLP1Ra to SGLT2i-treated patients, slower annual eGFR decline was observed. Our data raise the possibility that the renal benefits—especially annual eGFR decline—of combination therapy with SGLT2i and GLP1Ra may be affected by the preceding drug.

Quantitative phase imaging by digital holographic microscopy (DHM) is a nondestructive and label-free technique that has been playing an indispensable role in the fields of science, technology, and biomedical imaging. The technique is competent in imaging and analyzing label-free living cells and investigating reflective surfaces. Herein, we introduce a new configuration of a wide field-of-view single-shot common-path off-axis reflective DHM for the quantitative phase imaging of biological cells that leverages several advantages, including being less-vibration sensitive to external perturbations due to its common-path configuration, also being compact in size, simple in optical design, highly stable, and cost-effective. A detailed description of the proposed DHM system, including its optical design, working principle, and capability for phase imaging, is presented. The applications of the proposed system are demonstrated through quantitative phase imaging results obtained from the reflective surface (USAF resolution test target) as well as transparent samples (living plant cells). The proposed system could find its applications in the investigation of several biological specimens and the optical metrology of micro-surfaces.

Objective: Usage of time in range (TIR), measured by continuous glucose monitoring (CGM), has become common as a new index of glycemic control. Therefore, we compared points in range (PIR), measured by the self-monitoring of blood glucose (SMBG), with TIR. Methods: In this prospective observational study, 43 patients with diabetes wore FreeStyle Libre Pro and conducted SMBG at the same time. Time above range (TAR), TIR, time below range (TBR) and points above range (PAR), PIR, points below range (PBR) were compared, respectively. Results: The median PAR was 35.7%, while the median TAR was 20.8% for CGM. Conversely, the PIR was 64.3%, while the TIR was 74.9%; similarly, the PBR was 0%, while the TBR was 1.7%. A significant positive correlation was found between PIR and TIR (r = 0.784, P < 0.001). In the Bland-Altman analysis performed to assess the association between the two methods, PIR showed a -9.9% bias compared with TIR. Conclusions: PIR may be used in patients who find it difficult to use CGM as a substitute of TIR, however caution is needed when interpreting the data due to the difference between PIR and TIR. [ABSTRACT FROM AUTHOR]

A residue containing TiO2 and PGMs is generated in the hydrometallurgical process used for recycling platinum-group metals (PGMs). In this study, a pyrometallurgical process was considered in which PGMs from the residue generated in the hydrometallurgical process were concentrated in a molten copper phase as a collector metal and TiO2 was separated into the SiO2-CaO-TiO2 slag phase with SiO2 and CaO flux. The dissolution of PGMs must be reduced to minimize the loss of PGMs to the slag. Therefore, the distribution ratios of Pt as representative PGMs between the liquid SiO2-CaO-Al2O3-TiO2 or liquid SiO2-CaO-TiO2 slag and molten copper were measured at 1773K under an oxygen partial pressure of pO2 = 10-10. The experimental results showed that the distribution ratio of Pt increased with TiO2 concentration in the slag, and the distribution ratio of Pt reached a maximum value at a TiO2 concentration of approximately 10 mass%, and decreased with a further increase in TiO2 concentration with the SiO2-CaO-Al2O3-TiO2 slag. However, as TiO2 concentration in the slag increased, the distribution ratio of Pt decreased with the SiO2-CaO-TiO2 slag. Additionally, the experimental results showed that the distribution ratio of Pt between the SiO2- CaO-Al2O3-TiO2 slag and liquid copper increased with the slag basicity B, defined as B = (mass%CaO)/(mass%SiO2) when the TiO2 concentration in the slag was greater than 10 mass%. [ABSTRACT FROM AUTHOR]