The Effects of Acute Beetroot Juice Ingestion on Exercise and Cognitive Performance in Female Athletes

Nitrate-rich beetroot juice can enhance intense exercise performance which is attributed to enhanced skeletal muscle contractility. However, limited data exist in females and it is unknown whether dietary nitrate has an ergogenic effect in this population. PURPOSE: To investigate the potential effects of acute nitrate ingestion on a battery of exercise performance and cognitive tests before and after fatiguing intermittent running exercise. METHODS: Fifteen female team-sport athletes were assigned in a randomized, double-blind, crossover design to consume nitrate-rich beetroot juice (BR; 12 mmol of nitrate) and nitrate-depleted beetroot juice (PL; 0.10 mmol of nitrate) 2.5 h prior to performing the exercise protocol, with a washout period of 7 days between trials. Running 10 m and 20 m sprint split times, sprint reaction time, upper- and lower-body power, handgrip strength, and cognitive flexibility were measured before and after the Yo-Yo intermittent recovery level 1 (Yo-Yo IR1) test, during which performance and rate of perceived exertion were recorded. RESULTS: There were no significant differences in any performance outcome or cognitive flexibility (P \u3e 0.05). CONCLUSION: These findings indicate that acute nitrate ingestion does not influence performance in sprints, intermittent running, power, strength, or cognitive function in young adult female team-sport athletes

Mass Assembly of Stellar Systems and Their Evolution With the Sma (Masses). Multiplicity and the Physical Environment in L1448n

We present continuum and molecular line observations at 230 and 345 GHz from the Submillimeter Array (SMA) toward three protostars in the Perseus L1448N region. The data are from the large project "Mass Assembly of Stellar Systems and their Evolution with the SMA." Three dust continuum sources, Source B, Source NW, and Source A, are detected at both frequencies. These sources have corresponding emission peaks in C18O ($J=2\to 1$), 13CO ($J=2\to 1$), and HCO+ ($J=4\to 3$), and have offsets with N2D+ ($J=3\to 2$) peaks. High angular resolution data from a complementary continuum survey with the Karl G. Jansky Very Large Array show that Source B is associated with three 8 mm continuum objects, Source NW with two, and Source A remains single. These results suggest that multiplicity in L1448N exists at different spatial scales from a few thousand AU to <100 AU. Velocity gradients in each source obtained from two-dimensional fits to the SMA C18O emission are found to be perpendicular to within 20° of the outflow directions as revealed by 12CO ($J=2\to 1$). We have observed that Sources B and NW with multiplicity have higher densities than Source A without multiplicity. This suggests that thermal Jeans fragmentation can be relevant in the fragmentation process. However, we have not observed a difference in the ratio between rotational and gravitational energy between sources with and without multiplicity. We also have not observed a trend between non-thermal velocity dispersions and the level of fragmentation. Our study has provided the first direct and comprehensive comparison between multiplicity and core properties in low-mass protostars, although based on small number statistics.Astronom

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Acquired Myasthenia Gravis in a 2-year-old Scottish Terrier

A two-year-old female spayed Scottish terrier was presented to the Cornell University Hospital for Animals for acute onset of weakness, exercise intolerance, coughing, regurgitation, and vomiting. The patient was evaluated by a referring veterinarian, and was prescribed a nonsteroidal anti-inflammatory medication for possible right hind limb lameness. Worsening regurgitation and coughing during feedings prompted presentation to an Emergency hospital where complete blood count, chemistry panel, 4DX SNAP test, and thoracic radiographs were performed. The patient was diagnosed with Lyme disease, megaesophagus, and possible aspiration pneumonia. Failure to respond to antibiotic therapy and supportive care prompted referral to the Cornell University Neurology service the following day. On neurologic exam, the patient was mentally dull, markedly weak, and ambulatory paraparetic. Additionally marked, diffuse muscle atrophy, a decreased menace response OU, and an absent palpebral reflex OU were noted on exam. The patient was neurolocalized to the peripheral nervous system, and a neuromuscular junctionopathy was suspected. Additional diagnostics including thoracic radiographs, Tensilon response test, and acetylcholine receptor antibody titers were performed, which confirmed a diagnosis of Myasthenia gravis with secondary megaesophagus and aspiration pneumonia. Treatment with an acetylcholinesterase inhibitor and broad-spectrum antibiotics was initiated. Initial response to acetylcholinesterase inhibitor therapy was encouraging, and cyclosporine was added to the treatment regimen following resolution of aspiration pneumonia. At reevaluation six weeks following diagnosis, the patient was diagnosed with aspiration pneumonia, and was hospitalized for intravenous fluid and antibiotic therapy. The patient remained unresponsive to treatment, and persistent megaesophagus and worsening aspiration pneumonia ensued, necessitating repeated hospitalization for intensive management of aspiration pneumonia. Rescue therapy with mycophenolate mofetil was attempted, with no response. Given the lack of response to medical management and the poor long-term prognosis associated with this condition, euthanasia was elected. This report will describe pertinent clinical findings, diagnostics, and treatment in a dog with a peripheral nervous system lesion

Four loci explain 83% of size variation in the horse.

Horse body size varies greatly due to intense selection within each breed. American Miniatures are less than one meter tall at the withers while Shires and Percherons can exceed two meters. The genetic basis for this variation is not known. We hypothesize that the breed population structure of the horse should simplify efforts to identify genes controlling size. In support of this, here we show with genome-wide association scans (GWAS) that genetic variation at just four loci can explain the great majority of horse size variation. Unlike humans, which are naturally reproducing and possess many genetic variants with weak effects on size, we show that horses, like other domestic mammals, carry just a small number of size loci with alleles of large effect. Furthermore, three of our horse size loci contain the LCORL, HMGA2 and ZFAT genes that have previously been found to control human height. The LCORL/NCAPG locus is also implicated in cattle growth and HMGA2 is associated with dog size. Extreme size diversification is a hallmark of domestication. Our results in the horse, complemented by the prior work in cattle and dog, serve to pinpoint those very few genes that have played major roles in the rapid evolution of size during domestication

CpG methylation analysis of HPV16 in laser capture microdissected archival tissue and whole tissue sections from high grade anal squamous intraepithelial lesions:A potential disease biomarker

Incidence and mortality rates of anal cancer are increasing globally. More than 90% of anal squamous cell carcinomas (ASCC) are associated with human papillomavirus (HPV). Studies on HPV-related anogenital lesions have shown that patterns of methylation of viral and cellular DNA targets could potentially be developed as disease biomarkers. Lesion-specific DNA isolated from formalin-fixed paraffin-embedded (FFPE) tissues from existing or prospective patient cohorts may constitute a valuable resource for methylation analysis. However, low concentrations of DNA make these samples technically challenging to analyse using existing methods. We therefore set out to develop a sensitive and reproducible nested PCR-pyrosequencing based method to accurately quantify methylation at 10 CpG sites within the E2BS1, E2BS2,3,4 and Sp1 binding sites in the viral upstream regulatory region of HPV16 genome. Methylation analyses using primary and nested PCR-pyrosequencing on 52 FFPE tissue [26 paired whole tissue sections (WTS) and laser capture microdissected (LCM) tissues] from patients with anal squamous intraepithelial lesions was performed. Using nested PCR, methylation results were obtained for the E2BS1, E2BS2,3,4 and Sp1 binding sites in 86.4% of the WTS and 81.8% of the LCM samples. Methylation patterns were strongly correlated within median values of matched pairs of WTS and LCM sections, but overall methylation was higher in LCM samples at different CpG sites. High grade lesions showed low methylation levels in the E2BS1 and E2BS2 regions, with increased methylation detected in the E2BS,3,4/Sp1 regions, showing the highest methylation at CpG site 37. The method developed is highly sensitive in samples with low amounts of DNA and demonstrated to be suitable for archival samples. Our data shows a possible role of specific methylation in the HPV16 URR for detection of HSIL

Pattern of methylation in 10 CpG sites of HPV16 URR using matched whole tissue sections (WTS) and laser capture microdissected (LCM) samples of patients with anal squamous intraepithelial lesions.

<p>Methylation levels at each CpG site represent mean of 14 subjects. Error bars indicate SD.</p

Percentage of amplification of the different regions using primary and nested PCRs in 44 samples.

<p>Percentage of amplification of the different regions using primary and nested PCRs in 44 samples.</p