Aim We tested the hypothesis that dapagliflozin may regress left ventricular hypertrophy (LVH) in people with type 2 diabetes (T2D). Methods and results We randomly assigned 66 people (mean age 67 ± 7 years, 38 males) with T2D, LVH, and controlled blood pressure (BP) to receive dapagliflozin 10 mg once daily or placebo for 12 months. Primary endpoint was change in absolute left ventricular mass (LVM), assessed by cardiac magnetic resonance imaging. In the intention-to-treat analysis, dapagliflozin significantly reduced LVM compared with placebo with an absolute mean change of −2.82g [95% confidence interval (CI): −5.13 to −0.51, P = 0.018]. Additional sensitivity analysis adjusting for baseline LVM, baseline BP, weight, and systolic BP change showed the LVM change to remain statistically significant (mean change −2.92g; 95% CI: −5.45 to −0.38, P = 0.025). Dapagliflozin significantly reduced pre-specified secondary endpoints including ambulatory 24-h systolic BP (P = 0.012), nocturnal systolic BP (P = 0.017), body weight (P < 0.001), visceral adipose tissue (VAT) (P < 0.001), subcutaneous adipose tissue (SCAT) (P = 0.001), insulin resistance, Homeostatic Model Assessment of Insulin Resistance (P = 0.017), and high-sensitivity C-reactive protein (hsCRP) (P = 0.049). Conclusion Dapagliflozin treatment significantly reduced LVM in people with T2D and LVH. This reduction in LVM was accompanied by reductions in systolic BP, body weight, visceral and SCAT, insulin resistance, and hsCRP. The regression of LVM suggests dapagliflozin can initiate reverse remodelling and changes in left ventricular structure that may partly contribute to the cardio-protective effects of dapagliflozin. ClinicalTrials.gov Identifier NCT02956811
HiPERCAM is a portable, quintuple-beam optical imager that saw first light on the 10.4-m Gran Telescopio Canarias (GTC) in 2018. The instrument uses re-imaging optics and 4 dichroic beamsplitters to record us gs rs is zs (320 − 1060 nm) images simultaneously on its five CCD cameras, each of 3.1 arcmin (diagonal) field of view. The detectors in HiPERCAM are frame-transfer devices cooled thermo-electrically to 183 K, thereby allowing both long-exposure, deep imaging of faint targets, as well as high-speed (over 1000 windowed frames per second) imaging of rapidly varying targets. A comparison-star pick-off system in the telescope focal plane increases the effective field of view to 6.7 arcmin for differential photometry. Combining HiPERCAM with the world’s largest optical telescope enables the detection of astronomical sources to gs ∼ 23 in 1 s and gs ∼ 28 in 1 h. In this paper we describe the scientific motivation behind HiPERCAM, present its design, report on its measured performance, and outline some planned enhancements.
White dwarfs are the burnt out cores of Sun-like stars and are the final fate of 97% of all stars in our Galaxy. The internal structure and composition of white dwarfs are hidden by their high gravities, which causes all elements, apart from the lightest ones, to settle out of their atmospheres. The most direct method to probe the inner structure of stars and white dwarfs in detail is via asteroseismology. Here we present the first known pulsating white dwarf in an eclipsing binary system, enabling us to place extremely precise constraints on the mass and radius of the white dwarf from the light curve, independent of the pulsations. This 0.325 M white dwarf -one member of SDSS J115219.99+024814.4 -will serve as a powerful benchmark to constrain empirically the core composition of low-mass stellar remnants and investigate the effects of close binary evolution on the internal structure of white dwarfs.
Traditionally, the effects of interstellar extinction on binary star light curves have been treated as a uniform reduction in the observed brightness of the system that is independent of orbital phase. However, unless the orbital plane of the system coincides with the plane of the sky, or if the two stars are completely identical and present with minimal mutual irradiation and tidal/rotational distortions, then this is unlikely to be an accurate representation of the effect of interstellar extinction. Here, we present an updated treatment of interstellar extinction as incorporated in the PHOEBE 2.2 release (publicly available from http://phoebe-project.org) and assess the importance of using such an approach in the modeling of different types of binary systems. We also present the incorporation of PHOENIX model atmospheres into the PHOEBE 2.2 release, providing increased fidelity on computed observables down to lower temperatures than previously available. The importance of these new code developments is then highlighted via an extincted toy model of the eclipsing white-dwarf-subdwarf binary SDSS J235524.29+044855.7 -demonstrating that, in the age of LSST as well as complementary space-based photometric missions, a proper accounting for extinction and as well as the use of realistic model atmospheres will be essential in deriving accurate binary parameters.
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