Metabolic syndrome: definitions and controversies

Metabolic syndrome (MetS) is a complex disorder defined by a cluster of interconnected factors that increase the risk of cardiovascular atherosclerotic diseases and diabetes mellitus type 2. Currently, several different definitions of MetS exist, causing substantial confusion as to whether they identify the same individuals or represent a surrogate of risk factors. Recently, a number of other factors besides those traditionally used to define MetS that are also linked to the syndrome have been identified. In this review, we critically consider existing definitions and evolving information, and conclude that there is still a need to develop uniform criteria to define MetS, so as to enable comparisons between different studies and to better identify patients at risk. As the application of the MetS model has not been fully validated in children and adolescents as yet, and because of its alarmingly increasing prevalence in this population, we suggest that diagnosis, prevention and treatment in this age group should better focus on established risk factors rather than the diagnosis of MetS

Dietary α‐Linolenic Acid, Marine ω‐3 Fatty Acids, and Mortality in a Population With High Fish Consumption: Findings From the PREvención con DIeta MEDiterránea (PREDIMED) Study

Background: Epidemiological evidence suggests a cardioprotective role of α‐linolenic acid (ALA), a plant‐derived ω‐3 fatty acid. It is unclear whether ALA is beneficial in a background of high marine ω‐3 fatty acids (long‐chain n‐3 polyunsaturated fatty acids) intake. In persons at high cardiovascular risk from Spain, a country in which fish consumption is customarily high, we investigated whether meeting the International Society for the Study of Fatty Acids and Lipids recommendation for dietary ALA (0.7% of total energy) at baseline was related to all‐cause and cardiovascular disease mortality. We also examined the effect of meeting the society's recommendation for long‐chain n‐3 polyunsaturated fatty acids (≥500 mg/day). Methods and Results: We longitudinally evaluated 7202 participants in the PREvención con DIeta MEDiterránea (PREDIMED) trial. Multivariable‐adjusted Cox regression models were fitted to estimate hazard ratios. ALA intake correlated to walnut consumption (r=0.94). During a 5.9‐y follow‐up, 431 deaths occurred (104 cardiovascular disease, 55 coronary heart disease, 32 sudden cardiac death, 25 stroke). The hazard ratios for meeting ALA recommendation (n=1615, 22.4%) were 0.72 (95% CI 0.56–0.92) for all‐cause mortality and 0.95 (95% CI 0.58–1.57) for fatal cardiovascular disease. The hazard ratios for meeting the recommendation for long‐chain n‐3 polyunsaturated fatty acids (n=5452, 75.7%) were 0.84 (95% CI 0.67–1.05) for all‐cause mortality, 0.61 (95% CI 0.39–0.96) for fatal cardiovascular disease, 0.54 (95% CI 0.29–0.99) for fatal coronary heart disease, and 0.49 (95% CI 0.22–1.01) for sudden cardiac death. The highest reduction in all‐cause mortality occurred in participants meeting both recommendations (hazard ratio 0.63 [95% CI 0.45–0.87]). Conclusions: In participants without prior cardiovascular disease and high fish consumption, dietary ALA, supplied mainly by walnuts and olive oil, relates inversely to all‐cause mortality, whereas protection from cardiac mortality is limited to fish‐derived long‐chain n‐3 polyunsaturated fatty acids. Clinical Trial Registration URL: http://www.Controlled-trials.com/. Unique identifier: ISRCTN35739639

Marcatge estructural i morfosintàctic del Corpus Tècnic amb l'estàndard SGML

L'edició de textos fent ús de mitjans informàtics ha comportat avantatges i inconvenients. Mentre que ha fet molt accessible l'edició acurada de textos també ha provocat tot un seguit de problemes, un del quals és la dificultat de compartir recursos.Per altra banda, la lingüística necessita emprar corpus voluminosos per conèixer amb més precisió i fonament el comportament real del llenguatge. És evident que l'obtenció i consegüent preparació d'un corpus per a la seva explotació esdevé un procés costós en temps i recursos, motiu pel qual és força atractiu i gairebé necessari compartir aquest material de recerca amb altres organitzacions. En aquest treball s'examinen les diferents propostes d'aplicació de l'estàndard SGML (Standard Generalized Markup Language) en la constitució de corpus textuals per a la recerca lingüística, amb èmfasi especial en les solucions proposades a l'Institut Universitari de Lingüística Aplicada de la Universitat Pompeu Fabra

Marcatge estructural i morfosintàctic del Corpus Tècnic amb l'estàndard SGML

L'edició de textos fent ús de mitjans informàtics ha comportat avantatges i inconvenients. Mentre que ha fet molt accessible l'edició acurada de textos també ha provocat tot un seguit de problemes, un del quals és la dificultat de compartir recursos.Per altra banda, la lingüística necessita emprar corpus voluminosos per conèixer amb més precisió i fonament el comportament real del llenguatge. És evident que l'obtenció i consegüent preparació d'un corpus per a la seva explotació esdevé un procés costós en temps i recursos, motiu pel qual és força atractiu i gairebé necessari compartir aquest material de recerca amb altres organitzacions. En aquest treball s'examinen les diferents propostes d'aplicació de l'estàndard SGML (Standard Generalized Markup Language) en la constitució de corpus textuals per a la recerca lingüística, amb èmfasi especial en les solucions proposades a l'Institut Universitari de Lingüística Aplicada de la Universitat Pompeu Fabra

Plasticity After Spinal Cord Injury: Relevance to Recovery and Approaches to Facilitate It

Motor, sensory, and autonomic functions can spontaneously return or recover to varying extents in both humans and animals, regardless of the traumatic spinal cord injury (SCI) level and whether it was complete or incomplete. In parallel, adverse and painful functions can appear. The underlying mechanisms for all of these diverse functional changes are summarized under the term plasticity. Our review will describe what is known regarding this phenomenon after traumatic SCI and focus on its relevance to motor and sensory recovery. Although it is still somewhat speculative, plasticity can be found throughout the neuraxis and includes various changes ranging from alterations in the properties of spared neuronal circuitries, intact or lesioned axon collateral sprouting, and synaptic rearrangements. Furthermore, we will discuss a selection of potential approaches for facilitating plasticity as possible SCI treatments. Because a mechanism underlying spontaneous plasticity and recovery might be motor activity and the related neuronal activity, activity-based therapies are being used and investigated both clinically and experimentally. Additional pharmacological and gene-delivery approaches, based on plasticity being dependent on the delicate balance between growth inhibition and promotion as well as the basic intrinsic growth ability of the neurons themselves, have been found to be effective alone and in combination with activity-based therapies. The positive results have to be tempered with the reality that not all plasticity is beneficial. Therefore, a tremendous number of questions still need to be addressed. Ultimately, answers to these questions will enhance plasticity’s potential for improving the quality of life for persons with SCI