Calcium supplementation and risk of dementia in women with cerebrovascular disease

OBJECTIVE: To determine whether calcium supplementation is associated with the development of dementia in women after a 5-year follow-up. METHODS: This was a longitudinal population-based study. The sample was derived from the Prospective Population Study of Women and H70 Birth Cohort Study in Gothenburg, Sweden, and included 700 dementia-free women aged 70–92 years. At baseline in 2000–2001, and at follow-up in 2005–2006, the women underwent comprehensive neuropsychiatric and somatic examinations. A CT scan was performed in 447 participants at baseline. Information on the use and dosage of calcium supplements was collected. Dementia was diagnosed according to DSM-III-R criteria. RESULTS: Women treated with calcium supplements (n = 98) were at a higher risk of developing dementia (odds ratio [OR] 2.10, 95% confidence interval [CI] 1.01–4.37, p = 0.046) and the subtype stroke-related dementia (vascular dementia and mixed dementia) (OR 4.40, 95% CI 1.54–12.61, p = 0.006) than women not given supplementation (n = 602). In stratified analyses, calcium supplementation was associated with the development of dementia in groups with a history of stroke (OR 6.77, 95% CI 1.36–33.75, p = 0.020) or presence of white matter lesions (OR 2.99, 95% CI 1.28–6.96, p = 0.011), but not in groups without these conditions. CONCLUSIONS: Calcium supplementation may increase the risk of developing dementia in elderly women with cerebrovascular disease. Because our sample was relatively small and the study was observational, these findings need to be confirmed

Allogeneic Stem Cells Alter Gene Expression and Improve Healing of Distal Limb Wounds in Horses.

Distal extremity wounds are a significant clinical problem in horses and humans and may benefit from mesenchymal stem cell (MSC) therapy. This study evaluated the effects of direct wound treatment with allogeneic stem cells, in terms of gross, histologic, and transcriptional features of healing. Three full-thickness cutaneous wounds were created on each distal forelimb in six healthy horses, for a total of six wounds per horse. Umbilical cord-blood derived equine MSCs were applied to each wound 1 day after wound creation, in one of four forms: (a) normoxic- or (b) hypoxic-preconditioned cells injected into wound margins, or (c) normoxic- or (d) hypoxic-preconditioned cells embedded in an autologous fibrin gel and applied topically to the wound bed. Controls were one blank (saline) injected wound and one blank fibrin gel-treated wound per horse. Data were collected weekly for 6 weeks and included wound surface area, thermography, gene expression, and histologic scoring. Results indicated that MSC treatment by either delivery method was safe and improved histologic outcomes and wound area. Hypoxic-preconditioning did not offer an advantage. MSC treatment by injection resulted in statistically significant increases in transforming growth factor beta and cyclooxygenase-2 expression at week 1. Histologically, significantly more MSC-treated wounds were categorized as pro-healing than pro-inflammatory. Wound area was significantly affected by treatment: MSC-injected wounds were consistently smaller than gel-treated or control wounds. In conclusion, MSC therapy shows promise for distal extremity wounds in horses, particularly when applied by direct injection into the wound margin. Stem Cells Translational Medicine 2018;7:98-108

Observation of Umklapp processes in non-crystalline materials

Umklapp processes are known to exist in cristalline materials, where they control important properties such as thermal conductivity, heat capacity and electrical conductivity. In this work we report the provocative observation of Umklapp processes in a non-periodical system, namely liquid Lithium. The lack of a well defined periodicity seems then not to prevent the existence of these scattering processes mechanisms provided that the local order of the systems i.e. the maxima of the static structure factor supply the equivalent of a reciprocal lattice vector in the case of cristalline materials.Comment: 13 pages P

Low Cerebrospinal Fluid A beta(42) and A beta(40) are Related to White Matter Lesions in Cognitively Normal Elderly

Background: Low cerebrospinal fluid (CSF) levels of Aβ42 may be the earliest manifestation of Alzheimer’s disease (AD). Knowledge on how CSF Aβ interacts with different brain pathologies early in the disease process is limited. We examined how CSF Aβ markers relate to brain atrophy and white matter lesions (WMLs) in octogenarians with and without dementia to explore the earliest pathogenetic pathways of AD in the oldest old. // Objective: To study CSF amyloid biomarkers in relation to brain atrophy and WMLs in 85-year-olds with and without dementia. // Methods: 53 octogenarians took part in neuropsychiatric examinations and underwent both a lumbar puncture and a brain CT scan. CSF levels of Aβ42 and Aβ40 were examined in relation to cerebral atrophy and WMLs. Dementia was diagnosed. // Results: In 85-year-olds without dementia, lower levels of both CSF Aβ42 and CSF Aβ40 were associated with WMLs. CSF Aβ42 also correlated with measures of central atrophy, but not with cortical atrophy. In participants with dementia, lower CSF levels of Aβ42 were related to frontal, temporal, and parietal cortical atrophy but not to WMLs. // Conclusions: Our findings may suggest that there is an interrelationship between Aβ and subcortical WMLs in older persons without dementia. After onset of dementia, low CSF Aβ42, probably representing amyloid deposition in plaques, is associated with cortical atrophy. WMLs may be an earlier manifestation of Aβ deposition than cortical degeneration

Nodule detection in digital chest radiography: part of image background acting as pure noise

There are several factors that influence the radiologist's ability to detect a specific structure/lesion in a radiograph. Three factors that are commonly known to be of major importance are the signal itself, the system noise and the projected anatomy. The aim of this study was to determine to what extent the image background acts as pure noise for the detection of subtle lung nodules in five different regions of the chest. A receiver operating characteristic (ROC) study with five observers was conducted on two different sets of images, clinical chest X-ray images and images with a similar power spectrum as the clinical images but with a random phase spectrum, resulting in an image background containing pure noise. Simulated designer nodules with a full-width-at-fifth-maximum of 10 mm but with varying contrasts were added to the images. As a measure of the part of the image background that acts as pure noise, the ratio between the contrast needed to obtain an area under the ROC curve of 0.80 in the clinical images to that in the random-phase images was used. The ratio ranged from 0.40 (in the lateral pulmonary regions) to 0.83 (in the hilar regions) indicating that there was a large difference between different regions regarding to what extent the image background acted as pure noise. and that in the hilar regions the image background almost completely acted as pure noise for the detection of 10 turn nodules

Report of the Working Group on Commercial Catches (WGCATCH)

The Working Group on Commercial Catches (WGCATCH), chaired by Hans Gerritsen (Ireland) and Nuno Prista (Sweden), met in Lisbon, Portugal, 9–13 November 2015. WGCATCH is responsible for documenting national fishery sampling schemes, establishing best practice and guidelines on sampling and estimation procedures, and providing advice on other uses of fishery data. The meeting was attended by 30 participants from 15 countries. The group addressed a large number of terms of reference and the meeting was con-ducted through presentations, discussions and analysis of questionnaires. The main terms of reference were addressed in subgroups. The report is structured directly along the terms of reference and the main outcomes are listed below. Data collection schemes for small-scale fisheries WGCATCH provided descriptions of national small-scale fisheries through question-naires. An overview was obtained on the current data collection methods. Two major approaches were identified - census (e.g., sales, logbooks) and sampling methods (e.g., catch surveys) - and their main pros and cons were discussed. In most cases, specific sampling approaches are needed for these fisheries. The group developed a work plan to establish good-practice guidelines. Analysis of case studies of commercial fishery sampling designs and estimation Case studies of sampling designs and estimation involving megrim in divisions 7-8 were presented. A common theme is that issues with practical implementation of prob-ability-based sampling remain. WGCATCH summarized the main issues and provided a set of possible solutions. The group also provided guidance on dealing with previous data collected under métier-based sampling designs. Simulation models to investigate survey designs Several simulation studies were presented, most of them outlining the work of fishPi project (funded under MARE/2014/19) in evaluating regional sampling designs. A crit-ical review was carried out and WGCATCH produced general considerations and guidelines. WGCATCH recommends that these are taken into account when analysing the results of simulations of regional sampling design at RCM level. The affect of the landing obligation on catch sampling opportunities The affects on sampling and data quality of the current implementation of the landing obligation in the Baltic were reviewed. The group found that refusal rates for observer trips have increased to nearly 100% in at least one country, while in many other coun-tries on-board observer programmes did not suffer noticeable changes. WGCATCH established that the catches below the minimum size cannot be accurately estimated by sampling the landings below the minimum size because an unknown proportion of the catches may be discarded. The group also reiterated that it is important that the logbooks distinguish landings below and above the minimum size. Publication on statistically sound sampling schemes WGCATCH drafted detailed plans to produce a peer-reviewed paper in 2016. The pa-per will provide a synthesis of the evolution of sampling design towards best practice, illustrated with a number of concise case studies. Estimation procedures in the Regional Database (RDB) The work of WKRDB 2015 presented alongside existing and planned estimation pro-cedures in the RDB. Current work by Norway on a software package that will allow design-based estimation and optimization for stock assessment purposes was also pre-sented. The advantages of ensuring compatibility of this new software with the devel-opments currently planned for RDB-FishFrame are underscored. Repository of resources relevant to catch sampling WGCATCH initiated a repository with key resources; putting them into context with brief descriptions or review of each report, paper, book, website, software package etc. The intention is for this repository to be made available online by ICES. Sampling of incidental bycatches WGCATCH agreed to start routine documentation of sampling practices for bycatches of protected, endangered and threatened species (PETS) and rare fish species as well as routine evaluation of the limitations of current methods for collection and analysis. Training course on Design and Analysis of Statistical Sound catch sampling pro-grammes WGCATCH considered continuous training and expertise on sampling design, estima-tion and simulation to be the basis for successful implementation of statistical sound catch sampling programs. A new ICES Training Course in Design and Analysis of Sta-tistical Sound will take place at ICES HQ in Copenhagen, 12–16 September 2016. WGCATCH recommends that RCMs promote the attendance of these meetings among all MS involved

The International criteria for reporting study Quality for Sudden Cardiac Arrest/Death tool: IQ-SCAD

Background Studies reporting on the incidence of sudden cardiac arrest and/or death (SCA/D) in athletes commonly lack methodological and reporting rigour, which has implications for screening and preventative policy in sport. To date, there are no tools designed for assessing study quality in studies investigating the incidence of SCA/D in athletes. Methods and Results The International criteria for reporting study Quality for Sudden Cardiac Arrest/Death tool (IQ-SCA/D) was developed following a Delphi process. Sixteen international experts in sports cardiology were identified and invited. Experts voted on each domain with subsequent moderated discussion for successive rounds until consensus was reached for a final tool. Inter-observer agreement between a novice, intermediate and expert observer was then assessed from the scoring of 22 relevant studies using weighted and unweighted Kappa analyses. The final IQ-SCA/D tool comprises 8 domains with a summated score out of a possible 22. Studies are categorised as low, intermediate and high quality with summated IQ-SCA/D scores of ≤11, 12-16 and ≥17 respectively. Inter-rater agreement was ‘substantial’ between all three observers for summated IQ-SCA/D scores and study categorisation. Conclusions The IQ-SCA/D is an expert consensus tool for assessing the study quality of research reporting the incidence of SCA/D in athletes. This tool may be used to assist researchers, reviewers, journal editors, and readers in contextualising the methodological quality of different studies with varying athlete SCA/D incidence estimates. Importantly, the IQ-SCA/D also provides an expert-informed framework to support and guide appropriate design and reporting practices in future SCA/D incidence trials

Variant -and individual dependent nature of persistent Anaplasma phagocytophilum infection

<p>Abstract</p> <p>Background</p> <p><it>Anaplasma phagocytophilum </it>is the causative agent of tick-borne fever in ruminants and human granulocytotropic anaplasmosis (HGA). The bacterium is able to survive for several months in immune-competent sheep by modifying important cellular and humoral defence mechanisms. Little is known about how different strains of <it>A. phagocytophilum </it>propagate in their natural hosts during persistent infection.</p> <p>Methods</p> <p>Two groups of five lambs were infected with each of two <it>16S </it>rRNA gene variants of <it>A. phagocytophilum</it>, i.e. <it>16S </it>variant 1 which is identical to GenBank no <ext-link ext-link-id="M73220" ext-link-type="gen">M73220</ext-link> and <it>16S </it>variant 2 which is identical to GenBank no <ext-link ext-link-id="AF336220" ext-link-type="gen">AF336220</ext-link>, respectively. The lambs were infected intravenously and followed by blood sampling for six months. <it>A. phagocytophilum </it>infection in the peripheral blood was detected by absolute quantitative real-time PCR.</p> <p>Results</p> <p>Both <it>16S </it>rRNA gene variants of <it>A. phagocytophilum </it>established persistent infection for at least six months and showed cyclic bacteraemias, but variant 1 introduced more frequent periods of bacteraemia and higher number of organisms than <it>16S </it>rRNA gene variant 2 in the peripheral blood.</p> <p>Conclusion</p> <p>Organisms were available from blood more or less constantly during the persistent infection and there were individual differences in cyclic activity of <it>A. phagocytophilum </it>in the infected animals. Two <it>16S </it>rRNA gene variants of <it>A. phagocytophilum </it>show differences in cyclic activity during persistent infection in lambs.</p