The monitoring of diabetic patients by evaluating glycated protein levels is now widely accepted and performed. The microchromatographic version of the high performance liquid chromatography method is the technique most frequently used in clinical practice. The DCA 2000 instrument (Bayer Diagnostics, Milan, Italy), based on an immunochemical technique, has been proposed for the rapid and simple evaluation of HbAlc, using even capillary blood. We evaluated 171 subjects including 22 healthy volunteers, 78 type 2 diabetic patients with different degrees of metabolic control, 11 women affected by gestational diabetes mellitus (GDM), 6 patients with hyperlipemia, 38 patients with chronic renal failure, 13 diabetic patients with chronic renal failure, and 3 patients with hemoglobinopathies. The DCA 2000 model was compared with the Diamat HPLC system. Data from within-run imprecision studies showed excellent precision, for both DCA 2000 and the HPLC system. The correlation between the two different systems, as shown by other statistical evaluations, was good (y = 0.911x + 0.462, r = 0.923). Results from the control group and diabetic patients were used to compare the two methods. Values obtained using the DCA 2000 were significantly lower (p < 0.0001) than those obtained with the HPLC system, in both healthy subjects and diabetic patients. To detect possible interferences, selected samples were analyzed from patients with hyperlipemia, diabetes and chronic renal failure, and hemoglobinopathies. While in the case of hyperlipemia, an acceptable correlation coefficient between the two systems was confirmed (y = 1.047x - 1.236, r = 0.876), in the case of chronic renal failure the correlation turned out to be very low (y = 0.254x + 3.456, r = 0.203). Our results indicate that the DCA 2000 gives accurate and reliable results in the clinical field of interest.
In this paper we investigate the fitness criteria of programming languages used as the target platform in a modeldriven engineering process that includes automated code generation. We are in particular interested in the fitness of the Real-Time Specification for Java, which combines the Java object-oriented semantics with a fairly rich concurrency model. We contend that the impact of the target programming language for the development of highly-critical real-time systems is becoming smaller and smaller as new model-driven engineering frameworks emerge.
The theory behind state-of-the-art schedulability analysis has reached such a level of sophistication that its complete mastering by the average industrial practitioner is practically infeasible. The centrality of automation promoted by model-driven engineering may facilitate the uptake of the front-end of the analysis theory by the industrial world. In this paper we qualitatively evaluate how current approaches to model-based schedulability analysis may employ and feed state-of-the-art analysis equations; we then illustrate a new strategy which, by way of model transformation, warrants a high degree of confidence in and permits an iterative refinement of the input to sophisticated analysis equations. We contend that model-driven engineering is well suited for fitting the most advanced analysis theories and to chart the course for future improvements in the area of model-based schedulability analysis
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