296 research outputs found
Calibration and characterization of the ELVIS hydrophones
Calibration is an important _eld and is used everywhere from education, research and industry. Every electrical equipment has to be calibrated during manufacturing and even over time as it is worn down. The purpose of calibration is to come as close as possible to the true value. The question is how close is close enough and how close is possible? Because even the equipment used for calibration needs calibrating, which in turn also needs calibrating and so on. This thesis will be about the hydrophones used by the system ELVIS. The method of choice is calibration by comparison. Its idea is to compare the signal received by the uncalibrated transducer with the same signal received by an already calibrated one. This might seem trivial but there are many things to be considered. ELVIS uses 47 hydrophones. The frequency range subjected to calibration is 30-250 kHz which leads to a huge amount of data to be recorded, analysed and presented. The result shows that each individual hydrophone performs similar to each other. Because of the insecurities regarding the reference hydrophone, no absolute measurements will be presented
Cancer resistance in the naked mole-rat (Heterocephalus glaber)
NakenrÄttan (Heterocephalus glaber) Àr ett dÀggdjur som lever hela sitt liv under jord i
eusociala kolonier i östra Afrika. Den Àr jordens mest lÄnglivade gnagare med en maximal
livslÀngd pÄ över 30 Är, vilket Àr hÀpnadsvÀckande i jÀmförelse med 4 Är hos en mus i samma
storlek. Den nakna gnagaren har, utöver sin avsaknad av pÀls, en bristande förmÄga till
termoreglering. Med en kroppstemperatur pĂ„ omkring 30â32°C och en mycket vĂ€rmestabil
livsmiljö, fÄr den problem med termoregleringen redan nÀr temperaturen i omgivningen börjar
nÀrma sig 15°C och nakenrÄttan liknar i just det avseendet mer en ödla Àn ett typiskt dÀggdjur.
NakenrÄttan Àr dock anmÀrkningsvÀrd i mÄnga andra avseenden. Den klarar upp till 18 minuter
av anoxi, den Àr vÀldigt smÀrttÄlig och under de första cirka 75% av livet verkar den inte Äldras
överhuvudtaget; den Àr mycket motstÄndskraftig mot mÄnga av de vanligaste tecknen pÄ
Äldrande och Äldersrelaterade sjukdomarna. De Àr Àven fertila upp i hög Älder och uppvisar en
ovanligt lÄg grad av gendifferentiering de första 20 Ären av sina liv. Största fokus i denna
litteraturstudie ligger pÄ nakenrÄttans resistens mot cancer.
Innan februari 2016 fanns inga dokumenterade fall av tumörutveckling hos nakenrÄttor, trots
att djuren forskats pÄ och observerats extensivt i mÄnga Är. Forskningen har kommit fram till
ett antal olika skÀl till nakenrÄttans cancerresistens. I denna litteraturstudie nÀmns bland annat
dess höga produktion kombinerat med lÄg nedbrytning av den extracellulÀra stödjemolekylen
hyaluron, en molekyl som dessutom Àr 5 gÄnger sÄ stor hos nakenrÄttan som hos mus.
NakenrÄttan har Àven uppvisat höga nivÄer av a2-makroglobulin och ett antal integriner
inblandade i celladhesion; nÄgot som pÄverkar sÄvÀl migration och adhesion som invasion hos
bÄde normala celler och cancerceller.
Fibroblasterna hos nakenrÄttan Àr betydligt mer resistenta mot mÄnga toxiner Àn vad musens Àr.
Det har dessutom visat sig att de vid exponering av gentoxiner kan gÄ in i temporÀr vilofas och
dÀrmed undvika att föra vidare skadat DNA. Denna förmÄga hade inte mössens fibroblaster i
försöket. NakenrÄttan uppvisar dessutom basala nivÄer av p53 som Àr 50 gÄnger större Àn de
hos mus. Under gentoxisk exponering ökar nivÄerna dessutom betydligt mer Àn vad musens
gör. Detta betyder att de förmodligen har ett bÀttre skydd mot cancer pÄ cellnivÄ, dÄ p53 reglerar
till exempel vilofas och apoptos. Ăven av Nrf2 (nuclear factor erythroid 2-related factor), ett
protein inblandat i cellens antioxidativa skydd, har nakenrÄttan uppvisat höga nivÄer. Nrf2 har
visats vara inblandat i kroppens skydd mot en rad sjukdomar, bland annat cancer. De höga
nivÄerna av Nrf2 kan Àven vara en förklaring till nakenrÄttans resistens mot toxiner.
Om man vill anvÀnda sig av nakenrÄttans mekanismer mot Äldrande och tumörutveckling i
framtida forskning, sÄ finns dÀr ingen brist pÄ underlag för det. Mekanismerna Àr mÄnga och
samverkar i mÄnga fall med varandra, vilket gör det hela nÄgot komplext. Men det finns ingen
tvekan om att nakenrÄttans fysiologi kan vara till stor hjÀlp för framtida forskning, och kanske
kan den en dag bidra till ett lÀngre och friskare liv för sÄvÀl oss mÀnniskor som för vÄra husdjur.The naked mole-rat (Heterocephalus glaber) is a fascinating eusocial, subterranean mammal
living in East Africa. The worldâs longest living rodent has a maximum life span of over 30
years. A remarkable number when compared to a mouse of similar size, with a maximum life
span of about 4 years. The naked mole-rat, in addition to its lack of fur, has a poor
thermoregulatory capacity. In fact, with a body temperature of around 30â32°C and an
extremely thermostable habitat, it has difficulty managing thermoregulation even at
temperatures approaching 15°C. In that regard, this rodent more closely resembles a reptile than
a typical mammal.
Even so, the naked mole-rat is remarkable in various other aspects. They can sustain up to 18
minutes of anoxia and they are extraordinarily resistant to pain. They also do not seem to age
at all during at least the first 75% of their lives, being unusually resistant to most common signs
of aging and age-related diseases. Naked mole-rats remain fertile for most of their lives and
during their first 20 years they show very little sign of gene differentiation. The main focus of
this literature study is on the resistance to cancer in the naked mole-rat.
Prior to February of 2016 there were no reported cases of tumors in naked mole-rats, despite
the fact that they had been extensively studied for many years. Researchers have discovered
several causes for cancer resistance in the naked mole-rat. This literature study mentions the
extracellular molecule hyaluronan, which is about 5 times bigger in this animal than it is in the
mouse. The naked mole-rat has also been shown to have higher levels of both a2-makroglobulin
and a number of integrins involved in cell adhesion; something which has an impact on the
migration, adhesion and even invasion of both regular cells as well as cancer cells. Naked molerat
fibroblasts have a very high tolerance to several toxins compared to the fibroblasts of mice.
In addition, when exposed to genotoxins the fibroblasts of naked mole-rats have been shown to
enter temporary senescence until any DNA damage is repaired, an ability that mouse fibroblasts
lacked.
The base levels of p53 have been found to be 50 times higher in naked mole-rats than in mice.
Furthermore, these base levels of p53 exhibit a considerably larger increase during exposure to
genotoxins than do the ones in mice, implying a more elaborate cellular protection against
tumor development. In these experiments, researchers also found higher levels of the protein
Nrf2 (nuclear factor erythroid 2-related factor) in the naked mole-rat. Nrf2 has a proven part in
the defense against many common diseases including cancer. The high levels of Nrf2 may also
provide an explanation to the apparent tolerance to various toxins in these animals.
For anyone who wishes to do further research in the fields of longevity and cancer on the naked
mole-rat, pre-conditions are great. There is a ton of material on its remarkable physiology,
including its longevity and cancer resistance. There are numerous underlying mechanisms to
these qualities in the naked mole-rat, of which many seem to be cooperating; making it all a bit
complex. However, the possibilities of this animal being of great importance in future scientific
research are undeniable. And perhaps one day the naked mole-rat may contribute to a longer
and healthier life for us humans as well as for our pets
The combination of high sensitivity troponin T and copeptin facilitates early rule-out of ACS: a prospective observational study
BACKGROUND: The combination of the new high sensitivity troponin T (hsTnT) assays and copeptin, a biomarker of endogenous stress, has been suggested to have the potential of early rule-out of acute coronary syndrome (ACS). The aim of this study was to examine the ability of this combination to rule out ACS in patients presenting with chest pain and to compare the diagnostic performance to hsTnT alone. METHOD: In this prospective observational study, patients with chest pain admitted for observation were consecutively included. Patients presenting with ST elevation were excluded. Copeptin and hsTnT were analyzed at admission and hsTnT was thereafter determined approximately every 3(rd) hour as long as clinically indicated. The follow-up period was 60Â days. A combined primary endpoint of ACS, non-elective percutanous coronary intervention, non-elective coronary artery bypass surgery and death of all causes was used. RESULTS: 478 patients were included. 107 (22%) patients were diagnosed with ACS during hospital stay. 70 (14%) had non-ST-segment elevation myocardial infarction (NSTEMI) and 37 (8%) had unstable angina pectoris (UAP). The combination of hsTnT >14Â ng/L or copeptin â„14 pmol/L at admission identified ACS with a higher sensitivity than hsTnT alone: 0.83 (95% confidence interval (CI): 0.74-0.89) versus 0.69 (95% CI: 0.59-0.77), p <0.001. Negative predictive values (NPV) 91% (95% CI: 86-94) versus 89% (95% CI: 84-92). A repeated hsTnT analyzed 3-4Â hours after admission resulted in a sensitivity of: 0.77 (95% CI: 0.65-0.86), p =0.031 for comparison with the combination analyzed at admission. CONCLUSIONS: In patients presenting with chest pain admitted for observation, the combination of hsTnT and copeptin analyzed at admission had a significantly higher sensitivity to diagnose ACS than hsTnT alone. We report a sensitivity of 83% and a NPV of 91% for the combination of hsTnT and copeptin and we conclude that biomarkers alone are not sufficient to rule out ACS. However, the combination of hsTnT and copeptin seems to have a significantly higher sensitivity to identify ACS than a repeated hsTnT test, and thus enables an earlier risk stratification of chest pain patients. This can be time-saving and beneficial for the individual patient by contributing to early decisions on treatment, need of further assessment and level of care
Terroireffekt i teori och praxis
Under senare Är har det etablerats ett flertal kommersiella vinodlingar runt om i Sverige och viner frÄn dessa finns nu till försÀljning genom Systembolaget. En debatt har uppstÄtt kring Sveriges potential för att tillverka vin, hur dessa viner ter sig rent kvalitetsmÀssigt och huruvida de Àr nÄgot att ta notis om, annat Àn som kuriosa för vinentusiaster.
I lĂ€nder med lĂ€ngre tradition av vinodling förekommer begreppet âterroireffektâ frekvent i samband med viners kvalitet och typicitet. Detta arbete syftar till att klargöra innebörden av begreppet âterroirâ, samt hur nĂ„gra av företagsledarna till större svenska vinodlingsföretag uppfattar och vĂ€rderar denna teori.
Detta har gjorts genom en litteraturstudie inriktad pĂ„ aktuell forskning inom Ă€mnet och genom en enkĂ€t â och intervjustudie riktad mot tre svenska vinodlare.
Resultatet av detta arbete visar att:
⹠det inte rÄder konsensus kring begreppets innebörd, men att det finns nÄgra tydliga huvudströmningar.
âą de svenska vinodlarna som deltagit i studien i hög grad Ă€r av samma Ă„sikter gĂ€llande uppfattning av begreppet terroireffekt. Deras vĂ€rdering av begreppet varierar dock.In recent years, a number of commercial vineyards and vineries have been established in Sweden and the wines of these are now on sale. A debate has arisen around Swedenâs potential to produce wine from grapes grown in Sweden and the quality of these wines. Are they something to be considered, or do they rather display a curiosity for wine enthusiasts.
In countries with a longer tradition of winemaking and -marketing the term âterroirâ is frequently associated with wines of quality and typicality. This work aims to clarify the meaning of âterroirâ as a concept and how some leaders of large Swedish vineyards and vineries perceive and assess this concept.
This has been done through a literature review focused on current research on the subject and through a questionnaire âand interview study targeting three Swedish winemakers.
The result of this study shows that:
âą there is no basic consensus on the term âterroirâ, but that there are several well-established theories.
âą the Swedish growers who participated in the study largely perceive the term âterroirâ in similar ways, but they validate it differently
The balance of serum matrix metalloproteinase-8 and its tissue inhibitor in acute coronary syndrome and its recurrence
Background: Matrix metalloproteinase-8 (MMP-8) is involved in the breakdown of the extracellular matrix increasing the vulnerability of atherosclerotic lesions. We analysed the diagnostic value of serum MMP-8 and tissue inhibitor of metalloproteinase-1 (TIMP-1) concentrations in acute coronary syndrome (ACS) and their prognostic value in ACS recurrence. Methods: The population comprised 343 patients with ACS [including 108 unstable angina pectoris and 235 acute myocardial infarctions (AMI)] and 326 healthy controls. Additionally, 157 (45.8%) patients were resampled during the recovery. The ACS patients were followed up for 6 years. Results: MMP-8, TIMP-1, and their molar ratio distinguished the cases from the controls; C-statistic of the multivariate model (95% CI, p-value) including the MMP-8/TIMP-1 ratio regarding its discriminating ability for AMI was 0.922 (0.893-0.950, p < 0.001). After the acute phase of ACS, median MMP-8 and TIMP-1 concentrations decreased (p < 0.001) by 34.5 and 28.7%, respectively, but ended up on a different level than those found in the controls. In the follow-up, acute phase and recovery period TIMP-1 concentrations associated with cardiovascular death with hazard ratios 4.31 (2.00-9.26, p < 0.001) and 4.69 (1.10-20.01, p = 0.037), respectively. Conclusions: The increase of serum MMP-8 and TIMP-1 concentrations may reflect plaque instability and tissue damage. TIMP-1 concentrations are associated with poor outcome in patients with ACS. The findings may have practical implications in both diagnostics and therapeutics. (c) 2011 Elsevier Ireland Ltd. All rights reserved
De gotlÀndska eldsjÀlarna
Trots att det sker en utflytt frÄn icke tÀtortsnÀra landsbygd i landet bedrivs ÀndÄ en framgÄngsrik landsbygdsutveckling pÄ Gotland. Detta i form av tio lokala utvecklingsbolag dÀr privatpersoner och företag kan köpa aktier i syfte att frÀmja den lokala bygden. Bakom bolagen stÄr ideellt arbetande personer som lÀgger ner mycket kraft och hundratals arbetstimmar för att driva igenom projekt som skapar samhÀllsnytta i bygden.
Dessa personer skulle i daglig benĂ€mning kunna gĂ„ under begreppet eldsjĂ€l, men det saknas idag bĂ„de svensk och internationell forskning inom Ă€mnet. Ăven om vissa karaktĂ€rsdrag kan jĂ€mföras med bĂ„de samhĂ€llsentreprenörskap, landsbygdsentreprenörskap och entreprenörskap pĂ„ landsbygden finns ingen tydlig beskrivning av begreppet.
Syftet med denna uppsats Àr dÀrför att inom ramen för forskningsprogrammet Nycklar till en levande landsbygd, beskriva begreppet eldsjÀl samt försöka förstÄ eldsjÀlens roll för Gotlands landsbygd. Detta görs genom en kvalitativ studie dÀr fyra eldsjÀlar deltagit i semistrukturerade intervjuer för att kartlÀgga gemensamma egenskaper samt relationen till social, rumslig och institutionell kontext.
Uppsatsen diskuterar dÀrför utifrÄn de teoretiska ramarna av samhÀllsentreprenörskap och kontext vilka karaktÀrsdrag och egenskaper en eldsjÀl prÀglas av, samt vad som driver individerna att trots stort motstÄnd fortsÀtta sitt arbete utan krav pÄ att fÄ nÄgonting i gengÀld. Studien visar dÀrmed att eldsjÀlar Àr starkt beroende av sociala nÀtverk, samt arbetar oegoistiskt för att skapa samhÀllsnytta dÀr drivkraften Àr en positiv förÀndring i bygden de bor och verkar i. För att bibehÄlla denna motivation krÀvs dock nÄgon form av bekrÀftelse eller Äterkoppling pÄ arbetet.
EldsjÀlar spelar en betydande roll i utvecklingen av Gotlands landsbygd, och tar vid dÀr Region Gotland inte lÀngre rÀcker till. EldsjÀlarna skapar trevnad i bygden för att fler ska stanna kvar eller flytta dit.Urbanisation is characterizing Swedish rural areas, yet successful rural development is spread over Gotland. There rural development is partly run by local development corporations, where both individuals and firms are able to invest in stocks to improve the local district. Behind these corporations stand individuals who invest a large amount of their time and effort, without gaining profit or even encouragements.
In Swedish terms those people often are called eldsjÀl or in English driving spirit, but there seems to be a loss i published theory about the subject. Even though societal entrepreneurship, rural entrepreneurship and entrepreneurship in rural all contain characteristics reminding of a driving spirit, there is no clear definition of a driving spirit as a concept.
Within the the research programme Nycklar till en levande landsbygd the aim is to, with a qualitative approach, describe the concept of a driving spirit and its relation to context. This paper therefore discuss a driving spiritâs qualities as well as key factors to continue with their plan in spite of great opposition. The study thereby show that social context is of great importance in order to create societal value, which is in their main interest. Driving spirits are however in need of encouragement or feedback in order to keep a continuance in their work.
Driving spirits continue where administrative authorities are insufficient and are therefore important for rural development in Gotland
Att odla eller inte odla : en studie om lantbrukares resurser och deras beslut att odla Äkerböna
Climate change and sustainability is discussed all over the world. In Sweden, as well as in many other countries worldwide, the food and agricultural system is one of the most important industries. It is both affected by and affecting climate change. Modern agricultural production relies on an increasingly higher use of resources and inputs to maintain a high production level of animal feed and human food. Expansion of legumes could improve resource efficiency and promote diversification of cropping systems which leads to a more sustainable agriculture. Despite all of the potential and benefits of growing more legumes, less than 2 % of the acreage in Sweden was used for legume production in 2018. Broad bean is one of the legumes that can be grown in large parts of Sweden and would be relatively easy to start growing.
This study aims to find differences and similarities among farmers who do and do not grow broad beans, to understand what the most determining resources are and how farmers use those resources to make decisions regarding crop planning. A mixed method approach is used in order to gain a deeper understanding through use of qualitative data, and quantitative data to conduct measurements. The data is collected through telephone-interviews with farmers in four counties in Sweden (Uppsala, VĂ€stmanland, Ăstergötland and VĂ€stra Götaland). The collected data is analyzed by both a qualitative thematic analysis and a quantitative statistical analysis to test several developed hypotheses.
The study concludes that the decision of crop is intimately linked to the business and the farmersâ allocation of recourses. Mainly, the physical resources determine whether the farmer grow broad beans or not. Human resources also influence the decision making of farmers but do not heavily affect the specific decision to grow broad bean or not. In our study farmersâ perception of the broad bean differ. Farmers who grow broad bean view them as an opportunity, while farmers who do not grow broad bean see it as a risk. Broad bean farmers are also more strategic and think in long-term perspective when planning their crop sequence. While the farmers who do not grow broad beans are more flexible and adaptable to changing prerequisites and circumstances. Uncertainty regarding an innovation is an obstacle for adoption. To reach a goal of growing more broad beans in the future, development of new varieties and delivery options could be a way to overcome this uncertainty and make it more suitable and attractive to adopt in to cropping systems.KlimatförĂ€ndringar och hĂ„llbarhet diskuteras över hela vĂ€rlden. I Sverige, liksom i mĂ„nga andra lĂ€nder över hela vĂ€rlden, anses livsmedels- och jordbruksindustrin vara en av de viktigaste industrierna, som bĂ„de pĂ„verkar och pĂ„verkas av klimatet. Modern jordbruksproduktion bygger pĂ„ en ökad och högre anvĂ€ndning av resurser och insatser för att upprĂ€tthĂ„lla en hög produktionsnivĂ„ för djurfoder och humankonsumtion. Expansionen av mer baljvĂ€xter i odlingen kan leda till bĂ€ttre resurseffektivitet och medföra diversifiering av vĂ€xtodlingen, vilket kan leda till ett mer hĂ„llbart jordbruk. Trots alla möjligheter och fördelar med att odla baljvĂ€xter utgörs mindre Ă€n 2 % av odlingsarealen i Sverige utav baljvĂ€xter. Ă
kerböna Àr en baljvÀxtgröda som kan odlas i större delen av Sverige, Àr relativt enkel att odla samt krÀver inga specialmaskiner.
Denna studie syftar till att finna skillnader och likheter mellan lantbrukare som odlar och inte odlar Ă„kerböna, för att förstĂ„ vilka som Ă€r de mest avgörande resurserna och hur lantbrukare anvĂ€nder dessa för att fatta beslut i sitt företagande. En kombination av kvalitativ och kvantitativ metod anvĂ€nds för att göra det möjligt att bĂ„de statistiskt jĂ€mföra och fĂ„ en djupare förstĂ„else av det empiriska materialet. Det empiriska materialet har samlats in via telefonintervjuer med lantbrukare i fyra lĂ€n i Sverige (Uppsala lĂ€n, VĂ€stmanlands lĂ€n, Ăstergötlands lĂ€n och VĂ€stra Götalands lĂ€n). Den insamlade data har sedan analyseras genom bĂ„de en kvalitativ tematisk analys och en kvantitativ statistisk analys för att testa ett antal hypoteser.
Studien visar att beslutsfattandet gÀllande val av gröda Àr nÀra kopplat till lantbrukarnas företagande och allokering av resurser. I huvudsak avgör de fysiska resurserna om lantbrukaren har förmÄga att odla Äkerböna eller inte. De humana resurserna pÄverkar ocksÄ beslutsfattandet i allmÀnhet, men pÄverkar i hög grad inte beslutet att odla Äkerböna eller inte. I vÄr studie skiljer sig lantbrukarnas uppfattning om Äkerbönan som potential gröda. De lantbrukare som odlar Äkerböna ser grödan som en möjlighet, medan de som inte odlar ser grödan som en risk. Lantbrukare som odlar Äkerböna Àr mer strategiska och tÀnker lÄngsiktigt nÀr de planerar sin vÀxtodling, medan lantbrukare som inte odlar Äkerböna Àr mer flexibla och anpassningsbara till förÀnderliga förutsÀttningar och omstÀndigheter. OsÀkerhet för en innovation kan vara ett hinder för att implementera den i sitt företagande. För att nÄ ett mÄl om att odla mer Äkerbönor i framtiden kan utvecklingen av nya sorter och leveransalternativ vara ett sÀtt att övervinna denna osÀkerhet och göra Äkerbönan mer lÀmpad och attraktiv att odla
Resistance to aspirin is increased by ST-elevation myocardial infarction and correlates with adenosine diphosphate levels
BACKGROUND: To be fully activated platelets are dependent on two positive feedback loops; the formation of thromboxane A(2 )by cyclooxygenase in the platelets and the release of ADP. We wanted to evaluate the effect of aspirin on platelet function in patients with acute coronary syndromes and we hypothesized that increased levels of ADP in patients with acute coronary syndromes could contribute to aspirin resistance. METHODS: Platelet activity in 135 patients admitted for chest pain was assessed with PFA-100. An epinephrine-collagen cartridge (EPI-COLL) was used for the detection of aspirin resistance together with an ADP-collagen cartridge (ADP-COLL). ADP was measured with hplc from antecubital vein samples. Three subgroups were compared: chest pain with no sign of cardiac disease (NCD), NonST-elevation myocardial infarction (NSTEMI) and STEMI. RESULTS: Platelet activation was increased for the STEMI group compared NCD. Aspirin resistance defined as <193 sec in EPI-COLL was 9.7 % in NCD, and increased to 26.0 % (n.s.) in NSTEMI and 83.3 % (p < 0.001) in STEMI. Chronic aspirin treatment significantly reduced platelet aggregation in NCD and NSTEMI, but it had no effect in STEMI. Plasma levels of ADP were markedly increased in STEMI (905 ± 721 nmol/l, p < 0.01), but not in NSTEMI (317 ± 245), compared to NCD (334 ± 271, mean ± SD). ADP levels correlated with increased platelet activity measured with ADP-COLL (r = -0.30, p < 0.05). Aspirin resistant patients (EPI-COLL < 193 sec) had higher ADP levels compared to aspirin responders (734 ± 807 vs. 282 ± 187 nmol/l, mean ± SD, p < 0.05). CONCLUSION: Platelets are activated and aspirin resistance is more frequent in STEMI, probably due to a general activation of platelets. ADP levels are increased in STEMI and correlates with platelet activation. Increased levels of ADP could be one reason for increased platelet activity and aspirin resistance
Infarct evolution in man studied in patients with first-time coronary occlusion in comparison to different species - implications for assessment of myocardial salvage
<p>Abstract</p> <p>Background</p> <p>The time course of infarct evolution, i.e. how fast myocardial infarction (MI) develops during coronary artery occlusion, is well known for several species, whereas no direct evidence exists on the evolution of MI size normalized to myocardium at risk (MaR) in man. Despite the lack of direct evidence, current literature often refers to the "golden hour" as the time during which myocardial salvage can be accomplished by reperfusion therapy. Therefore, the aim of the present study was to investigate how duration of myocardial ischemia affects infarct evolution in man in relation to previous animal data. Consecutive patients with clinical signs of acute myocardial ischemia were screened and considered for enrollment. Particular care was taken to assure uniformity of the patients enrolled with regard to old MI, success of revascularization, collateral flow, release of biochemical markers prior to intervention etc. Sixteen patients were ultimately included in the study. Myocardium at risk was assessed acutely by acute Myocardial Perfusion Single photon emission computed tomography (MPS) and by T2 imaging (T2-STIR) cardiovascular magnetic resonance (CMR) after one week in 10 of the 16 patients. Infarct size was measured by late gadolinium enhancement (LGE) at one week.</p> <p>Results</p> <p>The time to reach 50% MI of the MaR (T<sub>50</sub>) was significantly shorter in pigs (37 min), rats (41 min) and dogs (181 min) compared to humans (288 min). There was no significant difference in T<sub>50 </sub>when using MPS compared to T2-STIR (p = 0.53) for assessment of MaR (288 ± 23 min vs 310 ± 22 min, T<sub>50 </sub>± standard error). The transmural extent of MI increased progressively as the duration of ischemia increased (R<sup>2 </sup>= 0.56, p < 0.001).</p> <p>Conclusion</p> <p>This is the first study to provide direct evidence of the time course of acute myocardial infarct evolution in relation to MaR in man with first-time MI. Infarct evolution in man is significantly slower than in pigs, rats and dogs. Furthermore, infarct evolution assessments in man are similar when using MPS acutely and T2-STIR one week later for determination of MaR, which significantly facilitates future clinical trials of cardioprotective therapies in acute coronary syndrome by the use of CMR.</p
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