Risk evaluation for diabetic retinopathy in Chinese renalbiopsied type 2 diabetes mellitus patients

AIM:To investigate diabetic retinopathy(DR)prevalence in Chinese renal-biopsied type 2 diabetes mellitus(T2DM)patients with kidney dysfunction,and to further evaluate its relationship with diabetic nephropathy(DN)incidence and the risk factors for DR development in this population.METHODS:A total of 84 renal-biopsied T2DM patients were included.Fundus and imaging examinations were employed for DR diagnosis.Demographic information and clinical measures along with renal histopathology were analyzed for comparisons between the DR and non-DR groups.Risk factors on DR development were analyzed with multiple logistic regression.RESULTS:DR prevalence was 50%in total.The incidences of DN,non-diabetic renal disease(NDRD)and mixed-type pathology were 47.6%,19.0%and 33.3%in the DR group respectively,while 11.9%,83.3%and 4.8%in the non-DR group.Systolic blood pressure,ratio of urinary albumin to creatine ratio,urinary albumin,24-hours urinary protein,the incidence and severity of DN histopathology were found statistically increased in the DR group.Multiple logistic regression analysis showed histopathological DN incidence significantly increased the risk of DR development[odds ratio(OR)=21.664,95%confidential interval(CI)5.588 to 83.991,P<0.001 for DN,and OR=45.475,95%CI 6.949 to 297.611,P<0.001 for mixed-type,respectively,in reference to (NDRD)],wherein DN severity positively correlated.CONCLUSION:Renal histopathological evidence indicates DN incidence and severity increases the risk of DR development in Chinese T2DM patients inexperienced of regular fundus examinations.

The design of 2/8-type high-pressure cell applied to in situ neutron diffraction

The DIA-type Kawai cell possesses a larger volume and a quasi-hydrostatic pressure environment and has been widely used in materials’ synthesis and x-ray diffraction experiments.However, few high-pressure in situ neutron diffraction experiments were performed in the DIA-type Kawai cell because there is no wide window for neutron diffraction and the second-stage anvils and guild block material attenuates the neutron signal significantly.In this work, we tentatively modified the normal DIA-type Kawai cell(MA 2-6-8) into a MA 2-8 mode by removing the six first-stage tungsten carbide anvils.As a consequence, the eight tungsten carbide anvils(Kawai cell) are directly driven by the guide blocks.The results of ex situ and in situ pressure calibration show that the cell pressure can reach 5 GPa with small truncation edge lengths(TEL) of 3 mm even at the load of 300 kN.It suggests that this MA 2-8 cell may open a new way for high-pressure and high-temperature in situ neutron diffraction.