Antibodies against phosphorylcholine in hospitalized versus non‑hospitalized obese subjects

Obesity associates with reduced life expectancy, type 2 diabetes, hypertension and cardiovascular disease, and is characterized by chronic inflammation. Phosphorylcholine (PC) is an epitope on oxidized low-density lipoprotein, dead cells and some microorganisms. Antibodies against PC (anti-PC) have anti-inflammatory properties. Here, we explored the role of anti-PC in hospitalized versus non-hospitalized obese. One-hundred-and-twenty-eight obese (BMI ≥ 30 kg/m2) individuals (59.8 (± 5.5) years, 53.9% women) from the Malmö Diet and Cancer Cardiovascular Cohort were examined and IgM, IgG1 and IgG2 anti-PC were analyzed by ELISA. Individuals with at least one recorded history of hospitalization prior to study baseline were considered hospitalized obese (HO). Associations between IgM, IgG1 and IgG2 anti-PC and HO (n = 32)/non-hospitalized obese (NHO) (n = 96), but also with metabolic syndrome and diabetes were analysed using logistic regressions. Both IgM and IgG1 anti-PC were inversely associated with HO, also after controlling for age and sex. When further adjusted for waist circumference, systolic blood pressure, glucose levels and smoking status, only IgG1 anti-PC remained significantly associated with HO. In multivariate models, each 1 standard deviation of increment in anti-PC IgG1 levels was inversely associated with prevalence of HO (odds ratio 0.57; CI 95% 0.33–0.98; p = 0.044). IgG2 anti-PC did not show any associations with HO. Low levels of IgM and IgG1 anti-PC are associated with higher risk of being a HO individual independent of sex and age, IgG1 anti-PC also independently of diabetes and metabolic syndrome. The anti-inflammatory properties of these antibodies may be related to inflammation in obesity and its complications

Characterization and Engineering Properties of Dry and Ponded Class-F Fly Ash

Characterization studies conducted on Class-F fly-ash specimens gathered from different producers in the southeastern United States confirm general trends reported for fly ash worldwide. Additional tests and detailed analyses explain the spread in specific gravity (interparticle porosity cenospheres), highlight the tendency to segregation and layering, and show marked ferromagnetism. Furthermore, data show that early diagenetic cementation—within days after wetting—hinders densification and produces a fabric that is prone to collapse. New procedures are specifically developed to diagnose and characterize early diagenesis, including (1) pH measurements as an indicator of diagenetic potential, (2) test protocols to assess early diagenesis using oedometer tests and shear-wave velocity, and (3) procedures to determine realizable unit weights as reference values for the analyses of contractive or dilative tendencies and instability. In the absence of early diagenetic cementation, dilative fly-ash behavior is expected in the upper ≈20  m under monotonic shear loading. Flow instability may follow the failure of the containment structure if the ponded ash is saturated and has experienced hindered densification

Characterization and Engineering Properties of Dry and Ponded Class-F Fly Ash

Characterization studies conducted on Class-F fly-ash specimens gathered from different producers in the southeastern United States confirm general trends reported for fly ash worldwide. Additional tests and detailed analyses explain the spread in specific gravity (interparticle porosity cenospheres), highlight the tendency to segregation and layering, and show marked ferromagnetism. Furthermore, data show that early diagenetic cementation—within days after wetting—hinders densification and produces a fabric that is prone to collapse. New procedures are specifically developed to diagnose and characterize early diagenesis, including (1) pH measurements as an indicator of diagenetic potential, (2) test protocols to assess early diagenesis using oedometer tests and shear-wave velocity, and (3) procedures to determine realizable unit weights as reference values for the analyses of contractive or dilative tendencies and instability. In the absence of early diagenetic cementation, dilative fly-ash behavior is expected in the upper ≈20  m under monotonic shear loading. Flow instability may follow the failure of the containment structure if the ponded ash is saturated and has experienced hindered densification

Efficacy and safety of dapagliflozin according to frailty in patients with heart failure: a prespecified analysis of the DELIVER trial

Background: Frailty is increasing in prevalence and because frail patients are often perceived to have a less favorable benefit/risk profile, they may be less likely to receive new pharmacological treatments. We investigated the efficacy and tolerability of dapagliflozin according to frailty status in patients with heart failure and mildly reduced and preserved ejection fraction randomized in DELIVER. Methods: Frailty was measured using the Rockwood cumulative deficit approach. The primary endpoint was time to a first worsening heart failure event or cardiovascular death. Results: Of the 6263 patients randomized, a Frailty Index (FI) was calculable in 6258. In total, 2,354 (37.6%) patients had class 1 frailty (FI <0.210, i.e., not frail), 2,413 (38.6%) were in class 2 (FI 0.211-0.310, i.e., more frail), and 1,491 (23.8%) had class 3 frailty (FI >0.311, i.e., most frail). Greater frailty was associated with a higher rate of the primary endpoint (per 100 person years): FI class 1, 6.3 (95% CI 5.7-7.1); class 2, 8.3 (7.5-9.1); and class 3, 13.4 (12.1-14.7), P<0.001. The effect of dapagliflozin (as a hazard ratio) on the primary endpoint from FI class 1 to 3 was: 0.85 (95% CI, 0.68-1.06); 0.89 (0.74-1.08); and 0.74 (0.61-0.91), respectively (Pinteraction=0.40). Although frailer patients had worse KCCQ scores at baseline, the improvement with dapagliflozin was greater than in less frail patients: placebo-corrected improvement in KCCQ-OSS at 4 months FI class 1, 0.3 (95% CI -0.9 to 1.4); class 2, 1.5 (0.3-2.7); and class 3, 3.4 (1.7-5.1) [Pinteraction=0.021]. Adverse reactions and treatment discontinuation, while more frequent in frailer patients, were not more common with dapagliflozin than placebo, irrespective of frailty class. Conclusions: In DELIVER, frailty was common and associated with worse outcomes. The benefit of dapagliflozin was consistent across the range of frailty studied. The improvement in health-related quality of life with dapagliflozin occurred early and was greater in patients with greater frailty

Polarisation-maintaining single-mode-fibre resonator

A polarisation-maintaining fibre resonator has been set up. A finesse of 9 and a free spectral range (FSR) of 559 MHz are measured by feeding the resonator by a semiconductor laser

Coherent multicarrier techniques in future broadband communication networks

A multicarrier arrangement imposes certain requirements on the coherence of each laser wave in particular if a densely spaced (several GHz) carrier comb is assumed. In future there may be competition between direct detection systems with optical preamplifiers and single coherent systems for long distance transmission. Two questions have to be asked. Why multicarrier systems? Why coherent detection? The answers will differ, depending on the future evolution of components and system applications, which are examined briefly. Multicarrier transmission in the subscriber loop, multicarrier switching and problems related to multicarrier techniques are also discussed