Cardiovascular risk factors in children and adolescents with type 1 diabetes in Italy: a multicentric observational study
PEDIATRIC DIABETES
Authors: Fornari, Elena; Piona, Claudia; Rabbone, Ivana; Cardella, Francesca; Mozzillo, Enza; Predieri, Barbara; Lo Presti, Donatella; Cherubini, Valentino; Patera, Ippolita Patrizia; Suprani, Tosca; Bonfanti, Riccardo; Cauvin, Vittoria; Lombardo, Fortunato; Zucchini, Stefano; Zanfardino, Angela; Giani, Elisa; Reinstadler, Petra; Minuto, Nicola; Buganza, Raffaele; Roppolo, Rosalia; Marigliano, Marco; Maffeis, Claudio
Abstract
Aims To assess the prevalence of cardiovascular risk factors (CVRFs) and to identify the variables associated with CVRFs in a cohort of children and adolescents with Type 1 Diabetes. Methods 2021 subjects, 2-18 year-old, were recruited in 17 Italian Pediatric Diabetes Centers. Anthropometric, blood pressure, biochemical (HbA1c, lipid profile, ACR), insulin therapy, physical activity level, smoking and family socio-economic status data were collected. CVRFs prevalence and their distribution were analyzed according to age and binary logistic regression was performed with positivity for at least one major CVRF (BMI-SDS > +2SD, blood pressure > 90th percentile, LDL cholesterol>100 mg/dL) as dependent variable and age, duration of illness, gender, HbA1c and physical activity, as independent variables. Results The prevalence of CVFRs not at the recommended target was respectively: 32.5% one CVRF, 6.7% two CVRFs and 0.6% three CVRFs, with no significant differences across the 3 age groups (2-10, 10-15, 15-18 years). In the total sample, HbA1c and inadequate physical activity were associated with a higher probability of having at least one major CVRF. This probability was associated with physical activity in the 2-10-year-old group, with physical activity and HbA1c in the 10-15-year-old group and with HbA1c only in subjects older than 15 years. Conclusions More than 30% of subjects had at least a major CVRF. Early detection of CVRFs may be useful to enforce the therapeutic intervention in this subgroup, in order to reduce the risk to develop cardiovascular complications.
Design and implementation of a BDS precise point positioning service
NAVIGATION-JOURNAL OF THE INSTITUTE OF NAVIGATION
Authors: Liu, Cheng; Gao, Weiguang; Liu, Tianxiong; Wang, Dun; Yao, Zheng; Gao, Yang; Nie, Xin; Wang, Wei; Li, Dongjun; Zhang, Weixing; Wang, Dongxia; Rao, Yongnan
Abstract
Precise point positioning (PPP) service is of great significance for BDS. The design and implementation of the service are presented. The PPP-B2b signal of the service is constructed, which is efficient multiplexed with other signal components, and achieves compatibility between two service phases. A customized message format that can augment all visible satellites of four core constellations in mainland China is proposed. The high-gain, 64-ary, low-density parity check (LDPC) coding is used, which facilitates the integrated design of the receivers. A signal quality test has revealed that the S-curve bias (SCB) of PPP-B2b does not exceed 0.0165 ns and the coherence between the code and the carrier of the signal is only 0.137 circle. A performance evaluation has indicated that at its current stage, the positioning accuracy in the horizontal and vertical directions is better than 0.15 m and 0.3 m, respectively, and the convergence time does not exceed 800 s.