Carotid plaque imaging and the risk of atherosclerotic cardiovascular disease

Carotid artery plaque is a measure of atherosclerosis and is associated with future risk of atherosclerotic cardiovascular disease (ASCVD), which encompasses coronary, cerebrovascular, and peripheral arterial diseases. With advanced imaging techniques, computerized tomography (CT) and magnetic resonance imaging (MRI) have shown their potential superiority to routine ultrasound to detect features of carotid plaque vulnerability, such as intraplaque hemorrhage (IPH), lipid-rich necrotic core (LRNC), fibrous cap (FC), and calcification. The correlation between imaging features and histological changes of carotid plaques has been investigated. Imaging of carotid features has been used to predict the risk of cardiovascular events. Other techniques such as nuclear imaging and intra-vascular ultrasound (IVUS) have also been proposed to better understand the vulnerable carotid plaque features. In this article, we review the studies of imaging specific carotid plaque components and their correlation with risk scores

Considering the impact of situation-specific motivations and constraints in the design of naturally ventilated and hybrid buildings

A simple logical model of the interaction between a building and its occupants is presented based on the principle that if free to do so, people will adjust their posture, clothing or available building controls (windows, blinds, doors, fans, and thermostats) with the aim of achieving or restoring comfort and reducing discomfort. These adjustments are related to building design in two ways: first the freedom to adjust depends on the availability and ease-of-use of control options; second the use of controls affects building comfort and energy performance. Hence it is essential that these interactions are considered in the design process. The model captures occupant use of controls in response to thermal stimuli (too warm, too cold etc.) and non-thermal stimuli (e.g. desire for fresh air). The situation-specific motivations and constraints on control use are represented through trigger temperatures at which control actions occur, motivations are included as negative constraints and incorporated into a single constraint value describing the specifics of each situation. The values of constraints are quantified for a range of existing buildings in Europe and Pakistan. The integration of the model within a design flow is proposed and the impact of different levels of constraints demonstrated. It is proposed that to minimise energy use and maximise comfort in naturally ventilated and hybrid buildings the designer should take the following steps: 1. Provide unconstrained low energy adaptive control options where possible, 2. Avoid problems with indoor air quality which provide motivations for excessive ventilation rates, 3. Incorporate situation-specific adaptive behaviour of occupants in design simulations, 4. Analyse the robustness of designs against variations in patterns of use and climate, and 5. Incorporate appropriate comfort standards into the operational building controls (e.g. BEMS)

Where is the jet quenching in Pb+Pb collisions at 158 AGeV?

Because of the rapidly falling particle spectrum at large $p_T$ from jet fragmentation at the CERN SPS energy, the high-$p_T$ hadron distribution should be highly sensitive to parton energy loss inside a dense medium as predicted by recent perturbative QCD (pQCD) studies. A careful analysis of recent data from CERN SPS experiments via pQCD calculation shows little evidence of energy loss. This implies that either the life-time of the dense partonic matter is very short or one has to re-think about the problem of parton energy loss in dense matter. The hadronic matter does not seem to cause jet quenching in $Pb+Pb$ collisions at the CERN SPS. High-$p_T$ two particle correlation in the azimuthal angle is proposed to further clarify this issue.Comment: 4 pages with 2 ps figures. Minors changes are made in the text with updated references. Revised version to appear in Phys. Rev. Letter

Systematic Study of High p_T Hadron Spectra in pp, pA and AA Collisions from SPS to RHIC Energies

High-$p_T$ particle spectra in $p+p$ ($\bar p + p$), $p+A$ and $A+B$ collisions are calculated within a QCD parton model in which intrinsic transverse momentum, its broadening due to initial multiple parton scattering, and jet quenching due to parton energy loss inside a dense medium are included phenomenologically. The intrinsic $k_T$ and its broadening in $p+A$ and $A+B$ collisions due to initial multiple parton scattering are found to be very important at low energies ($\sqrt{s}<50$ GeV). Comparisons with $S+S$, $S+Au$ and $Pb+Pb$ data with different centrality cuts show that the differential cross sections of large transverse momentum pion production ($p_T>1$ GeV/$c$) in $A+B$ collisions scale very well with the number of binary nucleon-nucleon collisions (modulo effects of multiple initial scattering). This indicates that semi-hard parton scattering is the dominant particle production mechanism underlying the hadron spectra at moderate $p_T \stackrel{>}{\sim} 1$ GeV/$c$. However, there is no evidence of jet quenching or parton energy loss. Within the parton model, one can exclude an effective parton energy loss $dE_q/dx>0.01$ GeV/fm and a mean free path $\lambda_q< 7$ fm from the experimental data of $A+B$ collisions at the SPS energies. Predictions for high $p_T$ particle spectra in $p+A$ and $A+A$ collisions with and without jet quenching at the RHIC energy are also given. Uncertainties due to initial multiple scattering and nuclear shadowing of parton distributions are also discussed.Comment: 13 pages in RevTex with 14 figures, the final published version (with some typos corrected

Extracellular Hsp72 concentration relates to a minimum endogenous criteria during acute exercise-heat exposure

Extracellular heat-shock protein 72 (eHsp72) concentration increases during exercise-heat stress when conditions elicit physiological strain. Differences in severity of environmental and exercise stimuli have elicited varied response to stress. The present study aimed to quantify the extent of increased eHsp72 with increased exogenous heat stress, and determine related endogenous markers of strain in an exercise-heat model. Ten males cycled for 90 min at 50% O2peak in three conditions (TEMP, 20°C/63% RH; HOT, 30.2°C/51%RH; VHOT, 40.0°C/37%RH). Plasma was analysed for eHsp72 pre, immediately post and 24-h post each trial utilising a commercially available ELISA. Increased eHsp72 concentration was observed post VHOT trial (+172.4%) (P<0.05), but not TEMP (-1.9%) or HOT (+25.7%) conditions. eHsp72 returned to baseline values within 24hrs in all conditions. Changes were observed in rectal temperature (Trec), rate of Trec increase, area under the curve for Trec of 38.5°C and 39.0°C, duration Trec ≥ 38.5°C and ≥ 39.0°C, and change in muscle temperature, between VHOT, and TEMP and HOT, but not between TEMP and HOT. Each condition also elicited significantly increasing physiological strain, described by sweat rate, heart rate, physiological strain index, rating of perceived exertion and thermal sensation. Stepwise multiple regression reported rate of Trec increase and change in Trec to be predictors of increased eHsp72 concentration. Data suggests eHsp72 concentration increases once systemic temperature and sympathetic activity exceeds a minimum endogenous criteria elicited during VHOT conditions and is likely to be modulated by large, rapid changes in core temperature

Patterns of Tobacco-Use Behavior Among Chinese Smokers with Medical Conditions

Understanding the characteristics of Chinese American smokers with medical conditions and factors associated with their tobacco-use behaviors will guide effective cessation programs. In 2008, the authors described socio-demographic profiles of Chinese smokers with medical conditions treated during the period 2002–2006, documented their tobacco-use behaviors (i.e., average daily cigarette use, nicotine dependence, and number of past-year quit attempts), and drew comparisons between subjects recruited from hospitals (IP) and ambulatory settings (OP). Compared to OP, IP were significantly older, less educated, less acculturated, and more likely to be retired. Of the two groups, IP had poorer disease profiles, smoked less (4.4 vs. 11.9 cigarettes per day), and had lower nicotine-addiction scores (5.5 vs. 6.7). There was no difference between groups in past-year quit attempts. After adjustments, the data revealed that being employed and OP was associated with higher average daily cigarette use; IP were less nicotine dependent than OP; and for both groups, years of smoking was negatively associated with past-year quit attempts. Our study suggests that, more than acculturation level, health status influences the Chinese smoker’s level of cigarette use and nicotine addiction. Given the severity of their disease profiles, IP should be aggressively targeted for intervention, as they are more likely to be light smokers and to be less nicotine dependent than OP. Future tobacco treatment studies should pay attention to health status among smokers in health-care settings in order to provide a more accurate assessment of treatment needs and of barriers to successful smoking cessation

Heavy quarkonium: progress, puzzles, and opportunities

A golden age for heavy quarkonium physics dawned a decade ago, initiated by the confluence of exciting advances in quantum chromodynamics (QCD) and an explosion of related experimental activity. The early years of this period were chronicled in the Quarkonium Working Group (QWG) CERN Yellow Report (YR) in 2004, which presented a comprehensive review of the status of the field at that time and provided specific recommendations for further progress. However, the broad spectrum of subsequent breakthroughs, surprises, and continuing puzzles could only be partially anticipated. Since the release of the YR, the BESII program concluded only to give birth to BESIII; the $B$-factories and CLEO-c flourished; quarkonium production and polarization measurements at HERA and the Tevatron matured; and heavy-ion collisions at RHIC have opened a window on the deconfinement regime. All these experiments leave legacies of quality, precision, and unsolved mysteries for quarkonium physics, and therefore beg for continuing investigations. The plethora of newly-found quarkonium-like states unleashed a flood of theoretical investigations into new forms of matter such as quark-gluon hybrids, mesonic molecules, and tetraquarks. Measurements of the spectroscopy, decays, production, and in-medium behavior of c\bar{c}, b\bar{b}, and b\bar{c} bound states have been shown to validate some theoretical approaches to QCD and highlight lack of quantitative success for others. The intriguing details of quarkonium suppression in heavy-ion collisions that have emerged from RHIC have elevated the importance of separating hot- and cold-nuclear-matter effects in quark-gluon plasma studies. This review systematically addresses all these matters and concludes by prioritizing directions for ongoing and future efforts.Comment: 182 pages, 112 figures. Editors: N. Brambilla, S. Eidelman, B. K. Heltsley, R. Vogt. Section Coordinators: G. T. Bodwin, E. Eichten, A. D. Frawley, A. B. Meyer, R. E. Mitchell, V. Papadimitriou, P. Petreczky, A. A. Petrov, P. Robbe, A. Vair

Angst Springs Eternal:Dangerous Times and the Dangers of Timing the “Arab Spring”

Various reflections on the ‘Arab Spring’ evince a common view of the relationship between change and time that imbues events with a sense of intrinsic peril. Based on a framework developed from Norbert Elias’s concept of timing, this article elaborates the relationship between time and the ‘Arab Spring’ by unpacking and explaining three rhetorical tropes prevalent in academic responses to the revolts. The first two construct a problem to which the third proffers a solution. First, analysts treat time itself as a problematic force confounding stability and progress. Second, they deploy fluvial metaphors to present dynamic events as inherently insecure. Third, they use temporal Othering to retrofit the ‘Arab Spring’ to the familiar arc of liberal democracy, which renders the revolts intelligible and amenable to external intervention. These moves prioritize certainty and order over other considerations and constrain open-ended transformations within a familiar rubric of political progress. They also constitute an active timing effort based on a conservative standard, with important implications for our understanding of security and for scholarly reflexivity. The article concludes with three temporal alternatives for engaging novel changes like the ‘Arab Spring’