Natriuretic peptide receptor-C is up-regulated in the intima of advanced carotid artery atherosclerosis

OBJECTIVE: Natriuretic peptide receptor-C (NPR-C/NPR-3) is a cell surface protein involved in vascular remodelling that is up-regulated in atherosclerosis. NPR-C expression has not been well characterized in human carotid artery occlusive lesions. We hypothesized that NPR-C expression correlates with intimal features of vulnerable atherosclerotic carotid artery plaque. METHODS: To test this hypothesis, we evaluated NPR-C expression by immunohistochemistry (IHC) in carotid endarterectomy (CEA) specimens isolated from 18 patients. The grade, location, and co-localization of NPR-C in CEA specimens were evaluated using two tissue analysis techniques. RESULTS: Relative to minimally diseased CEA specimens, we observed avid NPR-C tissue staining in the intima of maximally diseased CEA specimens (65%; p=0.06). Specifically, maximally diseased CEA specimens demonstrated increased NPR-C expression in the superficial intima (61%, p=0.17), and deep intima (138% increase; p=0.05). In the superficial intima, NPR-C expression significantly co-localized with vascular smooth muscle cells (VSMCs) and macrophages. The intensity of NPR-C expression was also higher in the superficial intima plaque shoulder and cap regions, and significantly correlated with atheroma and fibroatheroma vulnerable plaque regions (β=1.04, 95% CI=0.46, 1.64). CONCLUSION: These findings demonstrate significant NPR-C expression in the intima of advanced carotid artery plaques. Furthermore, NPR-C expression was higher in vulnerable carotid plaque intimal regions, and correlate with features of advanced disease. Our findings suggest that NPR-C may serve as a potential biomarker for carotid plaque vulnerability and progression, in patients with advanced carotid artery occlusive disease

PERFORMANCE OF BIT ERROR RATE OF CODED OFDM FOR DIGITAL AUDIO BROADCASTING BY UTILIZING CONVOLUTIONAL SYSTEMS UNDER DIFFERENT CHANNELS

In this paper we exhibit an investigation of Bit Error Rate (BER), for Digital Audio Broadcasting (DAB) framework, utilizing Coded OFDM with various channel coding plans. Examination is done for convolutional coded and turbo coded information in an Additive White Gaussian Channel (AWGN) in light of various imperative lengths and code generator polynomials utilized for coding. A relative study on the computational multifaceted nature is likewise done by applying an sound flag and measuring the information preparing time per outline, on PCs with various processor speeds. It is demonstrated that a coding increase of roughly 6 dB is accomplished utilizing turbo coding when contrasted with convolution coding, at an expense of higher computational multifaceted nature

The Revocation Mechanism Of A Be Scheme Into Asymmetric GKA

We connect these two thoughts with a half breed primitive alluded to as contributory broadcast encryption (ConBE). In this new primitive, a gathering of individuals arrange a typical open encryption key while every part holds a decoding key. A sender seeing people in general gathering encryption key can restrain the decoding to a subset of individuals from his decision. Taking after this model, we propose a ConBE plot with short ciphertexts. The plan is turned out to be completely plot safe under the choice n-Bilinear Diffie-Hellman Exponentiation (BDHE) suspicion in the standard model. Of free intrigue, we introduce another BE plan that is aggregatable. The aggregatability property is appeared to be helpful to build propelled conventions

Supraclavicular decompression for neurogenic thoracic outlet syndrome in adolescent and adult populations

ObjectiveThis study was conducted to better define clinical results and understand factors determining responsiveness to surgical treatment for neurogenic thoracic outlet syndrome (NTOS) in adolescent and adult populations.MethodsA retrospective review was conducted for 189 patients with disabling NTOS who underwent primary supraclavicular decompression (scalenectomy, brachial plexus neurolysis and first rib resection, with or without pectoralis minor tenotomy) from April 2008 to December 2010. Clinical characteristics were compared between 35 adolescent patients (aged <21 years) and 154 adults (aged >21 years). Functional outcome measures were assessed before surgery and at 3- and 6-month follow-up using a composite NTOS Index combining the Disabilities of the Arm, Shoulder and Hand (DASH) survey, the Cervical-Brachial Symptom Questionnaire (CBSQ), and a 10-point visual analog scale (VAS) for pain.ResultsAdolescent and adult patients were not significantly different with respect to sex (overall 72.5% female), side affected (58.7% right, 60.3% dominant limb), bony anomalies (23.3%), previous injury (55.6%), coexisting pain disorders (11.1%), and positive responses to scalene muscle anesthetic blocks (95.6%). Compared with adults, adolescent patients had a significantly (P < .05) lower incidence of depression (11.4% vs 41.6%), motor vehicle injury (5.7% vs 20.1%), previous operations (11.4% vs 29.9%), preoperative use of opiate medications (17.1% vs 44.8%), and symptom duration >2 years (24.2% vs 50.0%). Mean preoperative NTOS Index (scale 0-100) was significantly lower in adolescent vs adult patients (46.5 ± 3.6 vs 58.5 ± 1.7; P = .009), and hospital length of stay was 4.4 ± 0.2 vs 4.9 ± 0.1 days (P = .03), but the rate of postoperative complications was no different (overall, 4.2%). Although both groups exhibited significant improvement in functional outcome measures at 3 and 6 months, adolescent patients had significantly lower NTOS Index (10.4 ± 3.1 vs 39.3 ± 3.3; P < .001) and use of opiate medications (11.4% vs 47.4%; P < .001) compared with adults.ConclusionsAdolescents undergoing supraclavicular decompression for NTOS had more favorable preoperative characteristics and enhanced 3-month and 6-month functional outcomes than adults. Further study is needed to delineate the age-dependent and independent factors that promote optimal surgical outcomes for NTOS

Gender specific quality of life in patients with oral squamous cell carcinomas

<p>Abstract</p> <p>Background</p> <p>The goal of this study was to evaluate the somatic and psychological effects by means of QUALITY OF LIFE (QOL) of surgical treatment of patients with oral squamous cell carcinoma. The factors gender, age, nicotine consumption, and tumour stage were taken into consideration.</p> <p>Methods</p> <p>54 patients after surgical resection of oral squamous cell carcinomas (OSCC) were analysed from 01.09.2005 to 31.05.2008. Inclusion criteria for the study were: age at least 18 years, no indication or treatment of synchronous and metachronous tumours.</p> <p>German translations of the EORTC H&N-35 and EORTC QLQ-C-30 questionnaires, as well as a general socioeconomic patient history were used as measuring instruments. The questionnaires were completed independently by the patients. The answers were translated into scale values for statistical evaluation using appropriate algorithms.</p> <p>Results</p> <p>Analysis of the EORTC-QLQ-C-30 questionnaires demonstrated a tendency of more negative assessment of emotional function among the female participants, and a more negative evaluation of social function among the male participants. Greater tumour sizes showed significantly lower bodily function (p = 0.018). While a smaller tumour size was significantly associated with lower cognitive functioning (p = 0.031). Other cofactors such as age, nicotine consumption, and tumour stage only showed a tendency to influence the quality of sleep and daily life.</p> <p>Conclusions</p> <p>The data obtained within this investigation demonstrated that gender had the most significant power on the subjectively perceived postoperative quality of life. This factor is important e.g. in preoperative decision making regarding immediate microvascular reconstruction after e.g. mandibular resection and therefore QOL assessment should become integral component of the care of patients with OSCC.</p

Towards an optimal therapy strategy for myogenous TMD, physiotherapy compared with occlusal splint therapy in an RCT with therapy-and-patient-specific treatment durations

Appendix. Threshold of signs and symptoms. Post-hoc power analysis on measures of effectiveness. Two-way ANOVA statistical analysis for pain intensity. Rules for progressing and ending splint therapy. Rules for progressing and ending physiotherapy. A stepped-care model including two possible therapies. (PDF 86 kb

Unveiling the combined effect of nano fertilizers and conventional fertilizers on crop productivity, profitability, and soil well-being

It is widely accepted that deficiency of macro (nitrogen) and micronutrients (zinc, copper etc.) affects the plant growth and development which cause a significant threat to crop production and food security. The Indian Farmers Fertilizer Cooperative (IFFCO) developed nano-urea (nano-N), nano-zinc (nano-Zn), and nano-copper (nano-Cu) liquid fertilizer formulations to enhance the crop yields, simultaneously addressing the nutrient deficiency, without causing toxicity. Therefore, this study was formulated to evaluate the effectiveness of nano-N (nano-urea), nano-Zn, and nano-Cu at varying N levels [0, 50, 75, and 100% of the recommended rates of nitrogen (RRN)] on maize-wheat and pearl millet-mustard systems during 2019–20 and 2020–21. The results exhibited that the application of nano-N + nano-Zn with 100% RRN exhibited significantly higher grain yields in maize (66.2–68.8%), wheat (62.6–61.9%), pearl millet (57.1–65.4%), and mustard (47.2–69.0%), respectively, over absolute control plots and combinations of three nano-fertilizers like nano-N + nano-Zn + nano-Cu applied plots. This was mainly attributed to the higher N and Zn uptake by the crops. However, 75% RRN with nano-N + nano-Zn also produced comparable yields. Thus, applying nano-N and nano-Zn via foliar applications, in conjunction with conventional urea, has the potential to reduce the required nitrogen fertilizer amount by up to 25%, while simultaneously maintaining equivalent yield levels. Similarly, 100% RRN and 75% RRN + nano-N + nano-Zn registered comparable profitability, soil mineral N, dehydrogenase activity (DHA), and soil microbial biomass carbon (SMBC), during both the study years. However, further research and field trials on nano fertilizers alone or in combination with conventional fertilizers are essential to fully unlock its benefits and ascertain its long-term effects which may offer a pathway to more efficient and eco-friendly crop nourishment