Remodelling of human atrial K+ currents but not ion channel expression by chronic β-blockade

Chronic β-adrenoceptor antagonist (β-blocker) treatment in patients is associated with a potentially anti-arrhythmic prolongation of the atrial action potential duration (APD), which may involve remodelling of repolarising K+ currents. The aim of this study was to investigate the effects of chronic β-blockade on transient outward, sustained and inward rectifier K+ currents (ITO, IKSUS and IK1) in human atrial myocytes and on the expression of underlying ion channel subunits. Ion currents were recorded from human right atrial isolated myocytes using the whole-cell-patch clamp technique. Tissue mRNA and protein levels were measured using real time RT-PCR and Western blotting. Chronic β-blockade was associated with a 41% reduction in ITO density: 9.3 ± 0.8 (30 myocytes, 15 patients) vs 15.7 ± 1.1 pA/pF (32, 14), p < 0.05; without affecting its voltage-, time- or rate dependence. IK1 was reduced by 34% at −120 mV (p < 0.05). Neither IKSUS, nor its increase by acute β-stimulation with isoprenaline, was affected by chronic β-blockade. Mathematical modelling suggested that the combination of ITO- and IK1-decrease could result in a 28% increase in APD90. Chronic β-blockade did not alter mRNA or protein expression of the ITO pore-forming subunit, Kv4.3, or mRNA expression of the accessory subunits KChIP2, KChAP, Kvβ1, Kvβ2 or frequenin. There was no reduction in mRNA expression of Kir2.1 or TWIK to account for the reduction in IK1. A reduction in atrial ITO and IK1 associated with chronic β-blocker treatment in patients may contribute to the associated action potential prolongation, and this cannot be explained by a reduction in expression of associated ion channel subunits

Wave: A New Family of Trapdoor One-Way Preimage Sampleable Functions Based on Codes

We present here a new family of trapdoor one-way Preimage Sampleable Functions (PSF) based on codes, the Wave-PSF family. The trapdoor function is one-way under two computational assumptions: the hardness of generic decoding for high weights and the indistinguishability of generalized $(U,U+V)$-codes. Our proof follows the GPV strategy [GPV08]. By including rejection sampling, we ensure the proper distribution for the trapdoor inverse output. The domain sampling property of our family is ensured by using and proving a variant of the left-over hash lemma. We instantiate the new Wave-PSF family with ternary generalized $(U,U+V)$-codes to design a "hash-and-sign" signature scheme which achieves existential unforgeability under adaptive chosen message attacks (EUF-CMA) in the random oracle model. For 128 bits of classical security, signature sizes are in the order of 15 thousand bits, the public key size in the order of 4 megabytes, and the rejection rate is limited to one rejection every 10 to 12 signatures.Comment: arXiv admin note: text overlap with arXiv:1706.0806

Two attacks on rank metric code-based schemes: RankSign and an Identity-Based-Encryption scheme

RankSign [GRSZ14a] is a code-based signature scheme proposed to the NIST competition for quantum-safe cryptography [AGHRZ17] and, moreover, is a fundamental building block of a new Identity-Based-Encryption (IBE) [GHPT17a]. This signature scheme is based on the rank metric and enjoys remarkably small key sizes, about 10KBytes for an intended level of security of 128 bits. Unfortunately we will show that all the parameters proposed for this scheme in [AGHRZ17] can be broken by an algebraic attack that exploits the fact that the augmented LRPC codes used in this scheme have very low weight codewords. Therefore, without RankSign the IBE cannot be instantiated at this time. As a second contribution we will show that the problem is deeper than finding a new signature in rank-based cryptography, we also found an attack on the generic problem upon which its security reduction relies. However, contrarily to the RankSign scheme, it seems that the parameters of the IBE scheme could be chosen in order to avoid our attack. Finally, we have also shown that if one replaces the rank metric in the [GHPT17a] IBE scheme by the Hamming metric, then a devastating attack can be found

Two attacks on rank metric code-based schemes: RankSign and an IBE scheme

International audienceRankSign [29] is a code-based signature scheme proposed to the NIST competition for quantum-safe cryptography [5] and, moreover , is a fundamental building block of a new Identity-Based-Encryption (IBE) [25]. This signature scheme is based on the rank metric and enjoys remarkably small key sizes, about 10KBytes for an intended level of security of 128 bits. Unfortunately we will show that all the parameters proposed for this scheme in [5] can be broken by an algebraic attack that exploits the fact that the augmented LRPC codes used in this scheme have very low weight codewords. Therefore, without RankSign the IBE cannot be instantiated at this time. As a second contribution we will show that the problem is deeper than finding a new signature in rank-based cryptography, we also found an attack on the generic problem upon which its security reduction relies. However, contrarily to the RankSign scheme, it seems that the parameters of the IBE scheme could be chosen in order to avoid our attack. Finally, we have also shown that if one replaces the rank metric in the [25] IBE scheme by the Hamming metric, then a devastating attack can be found

Clinical Practice Guidelines for Childbearing Female Candidates for Bariatric Surgery, Pregnancy, and Post-partum Management After Bariatric Surgery

Emerging evidence suggests that bariatric surgery improves pregnancy outcomes of women with obesity by reducing the rates of gestational diabetes, pregnancy-induced hypertension, and macrosomia. However, it is associated with an increased risk of a small-for-gestational-age fetus and prematurity. Based on the work of a multidisciplinary task force, we propose clinical practice recommendations for pregnancy management following bariatric surgery. They are derived from a comprehensive review of the literature, existing guidelines, and expert opinion covering the preferred type of surgery for women of childbearing age, timing between surgery and pregnancy, contraception, systematic nutritional support and management of nutritional deficiencies, screening and management of gestational diabetes, weight gain during pregnancy, gastric banding management, surgical emergencies, obstetrical management, and specific care in the postpartum period and for newborns

Sources and Sinks of Greenhouse Gases from European Grasslands and Mitigation Options: The ‘GreenGrass’ Project

Adapting the management of grasslands may be used to enhance carbon sequestration into soil, but could also increase N2O and CH4 emissions. In support of the European post-Kyoto policy, the European \u27GreenGrass\u27 project (EC FP5, EVK2-CT2001-00105) has three main objectives: i) to reduce the large uncertainties concerning the estimates of CO2, N2O and CH4 fluxes to and from grassland plots under different climatic conditions and assess their global warming potential, ii) to measure net greenhouse gas (GHG) fluxes for different management which reflect potential mitigation options, iii) to construct a model of the controlling processes to quantify the net fluxes and to evaluate mitigation scenarios by up-scaling to a European level