Newly diagnosed diabetes mellitus patients presenting with proliferative diabetic retinopathy as an initial sign

AIM: To investigate the clinical features of newly diagnosed diabetes mellitus(NDM) patients showing proliferative diabetic retinopathy(PDR) as an initial sign. ·METHODS: As a retrospective case series,the medical records of a total of four hundred and thirty-two patients who underwent a vitrectomy due to PDR were reviewed to find the subjects. Of 432 patients,six cases of NDM patients showing PDR as an initial sign were included and analyzed with their systemic and ocular features. Main outcome measures: the systemic features and ocular features [preoperative and postoperative best corrected visual acuity(BCVA),intraoperative findings]. ·RESULTS: The mean onset age of visual symptoms was 36.3 years old. The mean serum insulin and C-peptide titer was below the normal range. The mean fasting plasma glucose was 178mg/dL and the mean postprandial 2h plasma glucose was 306mg/dL. The mean HbA1c at diagnosis was 11.02%. In all cases,an acute progressive fibrovascular proliferation was observed. Intraoperative retinal tears were found in three cases of six. The mean preoperative BCVA was +0.67 ± 0.58 logMAR and the mean BCVA at postoperative 6 months was +0.20±0.30 logMAR. ·CONCLUSION: All patients were considered to have latent autoimmune diabetes in adults(LADA). A rapid deterioration of kidney function as well as poor diabetic control status at diagnosis was observed in all six cases. The ocular features of the patients showed acute progressive fibrovascular proliferation and relatively favorable postoperative visual acuity.

Modular Timing Constraints for Delay-Insensitive Systems

This paper introduces ARCtimer, a framework for modeling, generating, verifying, and enforcing timing constraints for individual self-timed handshake components. The constraints guarantee that the component＇s gate-level circuit implementation obeys the component＇s handshake protocol specification. Because the handshake protocols are delayinsensitive, self-timed systems built using ARCtimer-verified components are also delay-insensitive. By carefully considering time locally, we can ignore time globally. ARCtimer comes early in the design process as part of building a library of verified components for later system use. The library also stores static timing analysis （STA） code to validate and enforce the component＇s constraints in any self-timed system built using the library. The library descriptions of a handshake component＇s circuit, protocol, timing constraints, and STA code are robust to circuit modifications applied later in the design process by technology mapping or layout tools. In addition to presenting new work and discussing related work, this paper identifies critical choices and explains what modular timing verification entails and how it works.