679 research outputs found
Magnetic tension and gravitational collapse
The gravitational collapse of a magnetised medium is investigated by studying
qualitatively the convergence of a timelike family of non-geodesic worldlines
in the presence of a magnetic field. Focusing on the field's tension we
illustrate how the winding of the magnetic forcelines due to the fluid's
rotation assists the collapse, while shear-like distortions in the distribution
of the field's gradients resist contraction. We also show that the relativistic
coupling between magnetism and geometry, together with the tension properties
of the field, lead to a magneto-curvature stress that opposes the collapse.
This tension stress grows stronger with increasing curvature distortion, which
means that it could potentially dominate over the gravitational pull of the
matter. If this happens, a converging family of non-geodesic lines can be
prevented from focusing without violating the standard energy conditions.Comment: Typos corrected. Published versio
an island endemic forest specialist and a widespread habitat generalist
Background. The bay cat Catopuma badia is endemic to Borneo, whereas its
sister species the Asian golden cat Catopuma temminckii is distributed from
the Himalayas and southern China through Indochina, Peninsular Malaysia and
Sumatra. Based on morphological data, up to five subspecies of the Asian
golden cat have been recognized, but a taxonomic assessment, including
molecular data and morphological characters, is still lacking. Results. We
combined molecular data (whole mitochondrial genomes), morphological data
(pelage) and species distribution projections (up to the Late Pleistocene) to
infer how environmental changes may have influenced the distribution of these
sister species over the past 120 000 years. The molecular analysis was based
on sequenced mitogenomes of 3 bay cats and 40 Asian golden cats derived mainly
from archival samples. Our molecular data suggested a time of split between
the two species approximately 3.16 Ma and revealed very low nucleotide
diversity within the Asian golden cat population, which supports recent
expansion of the population. Discussion. The low nucleotide diversity
suggested a population bottleneck in the Asian golden cat, possibly caused by
the eruption of the Toba volcano in Northern Sumatra (approx. 74 kya),
followed by a continuous population expansion in the Late Pleistocene/Early
Holocene. Species distribution projections, the reconstruction of the
demographic history, a genetic isolation-by-distance pattern and a gradual
variation of pelage pattern support the hypothesis of a post-Toba population
expansion of the Asian golden cat from south China/Indochina to Peninsular
Malaysia and Sumatra. Our findings reject the current classification of five
subspecies for the Asian golden cat, but instead support either a monotypic
species or one comprising two subspecies: (i) the Sunda golden cat,
distributed south of the Isthmus of Kra: C. t. temminckii and (ii)
Indochinese, Indian, Himalayan and Chinese golden cats, occurring north of the
Isthmus: C. t. moormensis
Survey of Valinokkam Bay and adjoining area to assess its suitability for integrated sea farming — A report
The Valinokkam Bay and the adjoining area, east of the Bay surveyed, lie between Lat. 9°9' N and 9° 12' N and Long. 78°30'E and 78°42'E . The available information indicates that the bay and the adjoining grounds in the sea are highly productive and suitable for sea farming activities
Mexiletine (NaMuscla) for the treatment of myotonia in non-dystrophic myotonic disorders
Introduction: NaMuscla, (mexiletine), is the first licensed treatment for the Non-Dystrophic Myotonias (NDM). NDM are categorized by genetic ion channel dysfunction and cause significant morbidity. To date, off-license mexiletine, although less costly, has sometimes been subject to breaches in supply causing significant regional and national variation in availability.
Areas covered: The evidence supporting mexiletine use in NDM, its mechanism of action, chemistry, and pharmacodynamics is reviewed. The evidence for other, unlicensed medications, used to treat myotonia as well as new antimyotonic compounds in development is also reviewed.
Expert opinion: Mexiletine is an effective and safe treatment for NDM. However, while mexiletine is very effective in reducing muscle stiffness, it is less effective at treating the pain associated with NDM and some SCN4A genotypes may not respond to mexiletine treatment. In addition, gastrointestinal discomfort is frequent and may prevent adequate dose titration. Since the designation of mexiletine as an orphan drug for NDM, level 1 evidence for the antimyotonic effect of lamotrigine has emerged. However, no superiority trials have been completed. A head-to-head trial to compare the efficacy of mexiletine and lamotrigine in reducing both muscle stiffness and pain and to determine variation in genotype response would facilitate greater precision medicine in NDM
A systematic review of Vancouver B2 and B3 periprosthetic femoral fractures
Aims The aim of this study was to investigate the outcomes of Vancouver type B2 and B3 fractures by performing a systematic review of the methods of surgical treatment which have been reported.
Materials and Methods A systematic search was performed in Ovid MEDLINE, Embase and the Cochrane Central Register of Controlled Trials. For inclusion, studies required a minimum of ten patients with a Vancouver type B2 and/or ten patients with a Vancouver type B3 fracture, a minimum mean follow-up of two years and outcomes which were matched to the type of fracture. Studies were also required to report the rate of re-operation as an outcome measure. The protocol was registered in the PROSPERO database.
Results A total of 22 studies were included based on the eligibility criteria, including 343 B2 fractures and 167 B3 fractures. The mean follow-up ranged from 32 months to 74 months.
Of 343 Vancouver B2 fractures, the treatment in 298 (86.8%) involved revision arthroplasty and 45 (12.6%) were treated with internal fixation alone. A total of 37 patients (12.4%) treated with revision arthroplasty and six (13.3%) treated by internal fixation only underwent further re-operation.
Of 167 Vancouver B3 fractures, the treatment in 160 (95.8%) involved revision arthroplasty and eight (4.8%) were treated with internal fixation without revision. A total of 23 patients (14.4%) treated with revision arthroplasty and two (28.6%) treated only with internal fixation required re-operation.
Conclusion A significant proportion, particularly of B2 fractures, were treated without revision of the stem. These were associated with a higher rate of re-operation. The treatment of B3 fractures without revision of the stem resulted in a high rate of re-operation. This demonstrates the importance of careful evaluation and accurate characterisation of the fracture at the time of presentation to ensure the correct management. There is a need for improvement in the reporting of data in case series recording the outcome of the surgical treatment of periprosthetic fractures. We have suggested a minimum dataset to improve the quality of data in studies dealing with these fractures
Novel mutations in human and mouse SCN4A implicate AMPK in myotonia and periodic paralysis
Mutations in the skeletal muscle channel (SCN4A), encoding the Nav1.4 voltage-gated sodium channel, are causative of a variety of muscle channelopathies, including non-dystrophic myotonias and periodic paralysis. The effects of many of these mutations on channel function have been characterized both in vitro and in vivo. However, little is known about the consequences of SCN4A mutations downstream from their impact on the electrophysiology of the Nav1.4 channel. Here we report the discovery of a novel SCN4A mutation (c.1762A>G; p.I588V) in a patient with myotonia and periodic paralysis, located within the S1 segment of the second domain of the Nav1.4 channel. Using N-ethyl-N-nitrosourea mutagenesis, we generated and characterized a mouse model (named draggen), carrying the equivalent point mutation (c.1744A>G; p.I582V) to that found in the patient with periodic paralysis and myotonia. Draggen mice have myotonia and suffer from intermittent hind-limb immobility attacks. In-depth characterization of draggen mice uncovered novel systemic metabolic abnormalities in Scn4a mouse models and provided novel insights into disease mechanisms. We discovered metabolic alterations leading to lean mice, as well as abnormal AMP-activated protein kinase activation, which were associated with the immobility attacks and may provide a novel potential therapeutic target
Associations of carotid atherosclerosis with cognitive function and brain health: Findings from a UK tri-ethnic cohort study (Southall and Brent Revisited)
BACKGROUND: Cognitive function has an important role in determining the quality of life of older adults. Cardiovascular disease (CVD) is common in older people and may compromise cognitive performance; however, the extent to which this is related to carotid atherosclerosis is unclear. AIM: We investigated associations between carotid atherosclerosis and cognitive function and neuroimaging markers of brain health in a UK multi-ethnic community-based sample including older people of European, South Asian, and African-Caribbean ethnicity. METHODS: Carotid plaques and intima-media thickness (cIMT) were assessed using ultrasound in 985 people (mean age 73.2y, 56 % male). Associations of carotid atherosclerosis with cognitive function (memory, executive function, language and CSI-D, a global measure of cognitive state) and neuroimaging measures (total brain volume, hippocampal volume, white matter (WM) lesion volume and coalescence score) were analysed using regression analyses, with and without adjustment for potential confounders using two models: 1) adjustment for age, sex, and ethnicity; 2) model 1 plus education, physical activity category, body mass index, hypertension, diabetes, total and high density lipoprotein cholesterol, atrial fibrillation, smoking, previous CVD, alcohol consumption, and presence of chronic kidney disease. RESULTS: People with carotid plaque or higher cIMT had lower CSI-D score, poorer memory poorer executive function and higher WM lesion volume and coalescence. Language was poorer in people with plaque but was not correlated with cIMT. Associations with plaque were preserved after full adjustment (model 2) but relationships for cIMT were attenuated. Associations with other plaque characteristics were generally unconvincing after adjustment. CONCLUSIONS: This multi-ethnic cohort study provides evidence that presence of carotid plaque, is associated with poorer cognitive function and brain health
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