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Sensory sensitivity as a link between concussive traumatic brain injury and PTSD.
Traumatic brain injury (TBI) is one of the most common injuries to military personnel, a population often exposed to stressful stimuli and emotional trauma. Changes in sensory processing after TBI might contribute to TBI-post traumatic stress disorder (PTSD) comorbidity. Combining an animal model of TBI with an animal model of emotional trauma, we reveal an interaction between auditory sensitivity after TBI and fear conditioning where 75 dB white noise alone evokes a phonophobia-like phenotype and when paired with footshocks, fear is robustly enhanced. TBI reduced neuronal activity in the hippocampus but increased activity in the ipsilateral lateral amygdala (LA) when exposed to white noise. The white noise effect in LA was driven by increased activity in neurons projecting from ipsilateral auditory thalamus (medial geniculate nucleus). These data suggest that altered sensory processing within subcortical sensory-emotional circuitry after TBI results in neutral stimuli adopting aversive properties with a corresponding impact on facilitating trauma memories and may contribute to TBI-PTSD comorbidity
Water-fat magnetic resonance imaging for the assessment of human fetal adipose tissue
Adipose tissue is crucial for providing heat and energy to infants, especially at transitions such as birth and therefore must begin developing in utero. This development may be altered due to an adverse uterine environment, increasing the risk of developing later-life metabolic diseases such as obesity. An early assessment of fetal adipose tissue development through lipid accumulation could be key to understanding metabolic programming and minimizing this risk.
Water-fat magnetic resonance imaging (MRI) can non-invasively measure the lipid concentration of tissues and can therefore monitor the development of adipose tissue via tissue lipid concentration. This work demonstrated the feasibility of measuring fetal adipose tissue volumes and lipid concentrations in the third trimester. Both measures increased with gestational age, indicating this technique is sensitive to the tissue expansion and accumulation of lipids within the adipose tissue, an important improvement over previous MRI techniques limited to volume measures only.
Two water-fat MRI techniques were compared for measuring fetal adipose tissue lipid concentration; modified two-point Dixon and chemical-shift encoded MRI. It was found that the two techniques produced reliable fetal adipose tissue lipid concentration measures; however, only chemical-shift encoded MRI is suitable for assessing the lipid concentration of the fetal liver.
A regional variability of fetal adipose tissue lipid concentrations was found, reflecting the different gestational ages that adipose tissue compartments begin developing. Two compartments that begin development simultaneously but contain one of the two main types of adipose tissue, brown (generates heat) and white (stores energy), also had different lipid concentrations. This is an encouraging result suggesting that water-fat MRI could be used to differentiate fetal brown and white adipose tissues.
In conclusion, this dissertation contains applications of water-fat MRI techniques to assess the lipid concentration of fetal adipose tissue. It highlights factors that affect lipid concentration, including gestational age and adipose tissue region and type. These factors, and the choice of water-fat MRI technique, are important considerations for future studies aiming to use fetal tissue lipid concentrations to assess fetal metabolic programming
A survey of complex dimensions, measurability, and the lattice/nonlattice dichotomy
The theory of complex dimensions of fractal strings developed by Lapidus and van Frankenhuijsen has proven to be a powerful tool for the study of Minkowski measurability of fractal subsets of the real line. In a very general setting, the Minkowski measurability of such sets is characterized by the structure of corresponding complex dimensions. Also, this tool is particularly effective in the setting of self-similar fractal subsets of R which have been shown to be Minkowski measurable if and only if they are nonlattice. This paper features a survey on the pertinent results of Lapidus and van Frankenhuijsen and a preliminary extension of the theory of complex dimensions to subsets of Euclidean space, with an emphasis on self-similar sets that satisfy various separation conditions. This extension is developed in the context of box-counting measurability, an analog of Minkowski measurability, which is shown to be characterized by complex dimensions under certain mild conditions.National Science Foundation (U.S.) (Grant DMS–1247679
Conceptual design of the MHD Engineering Test Facility
The reference conceptual design of the MHD engineering test facility, a prototype 200 MWe coal-fired electric generating plant designed to demonstrate the commerical feasibility of open cycle MHD is summarized. Main elements of the design are identified and explained, and the rationale behind them is reviewed. Major systems and plant facilities are listed and discussed. Construction cost and schedule estimates are included and the engineering issues that should be reexamined are identified
The application of in utero magnetic resonance imaging in the study of the metabolic and cardiovascular consequences of the developmental origins of health and disease
Observing fetal development in utero is vital to further the understanding of later-life diseases. Magnetic resonance imaging (MRI) offers a tool for obtaining a wealth of information about fetal growth, development, and programming not previously available using other methods. This review provides an overview of MRI techniques used to investigate the metabolic and cardiovascular consequences of the developmental origins of health and disease (DOHaD) hypothesis. These methods add to the understanding of the developing fetus by examining fetal growth and organ development, adipose tissue and body composition, fetal oximetry, placental microstructure, diffusion, perfusion, flow, and metabolism. MRI assessment of fetal growth, organ development, metabolism, and the amount of fetal adipose tissue could give early indicators of abnormal fetal development. Noninvasive fetal oximetry can accurately measure placental and fetal oxygenation, which improves current knowledge on placental function. Additionally, measuring deficiencies in the placenta\u27s transport of nutrients and oxygen is critical for optimizing treatment. Overall, the detailed structural and functional information provided by MRI is valuable in guiding future investigations of DOHaD
Water-fat magnetic resonance imaging of adipose tissue compartments in the normal third trimester fetus
BACKGROUND: Assessment of fetal adipose tissue gives information about the future metabolic health of an individual, with evidence that the development of this tissue has regional heterogeneity.
OBJECTIVE: To assess differences in the proton density fat fraction (PDFF) between fetal adipose tissue compartments in the third trimester using water-fat magnetic resonance imaging (MRI).
MATERIALS AND METHODS: Water-fat MRI was performed in a 1.5-T scanner. Fetal adipose tissue was segmented into cheeks, thorax, abdomen, upper arms, forearms, thighs and lower legs. PDFF and R2* values were measured in each compartment.
RESULTS: Twenty-eight women with singleton pregnancies were imaged between 28 and 38 weeks of gestation. At 30 weeks\u27 gestation (n=22), the PDFF was statistically different between the compartments (P
CONCLUSION: Fetal adipose tissue accumulates lipids at a similar rate in all white adipose tissue compartments. PDFF variances between the compartments suggest that accumulation begins at different gestational ages, starting with cheeks, followed by extremities, trunk and abdomen. Additionally, MRI was able to detect differences in the PDFF between fetal brown adipose tissue and white adipose tissue
The Association Between Persistent White-Matter Abnormalities and Repeat Injury After Sport-Related Concussion
Objective: A recent systematic review determined that the physiological effects of concussion may persist beyond clinical recovery. Preclinical models suggest that ongoing physiological effects are accompanied by increased cerebral vulnerability that is associated with risk for subsequent, more severe injury. This study examined the association between signal alterations on diffusion tensor imaging following clinical recovery of sport-related concussion in athletes with and without a subsequent second concussion. Methods: Average mean diffusivity (MD) was calculated in a region of interest (ROI) in which concussed athletes (n = 82) showed significantly elevated MD acutely after injury (<48 h), at an asymptomatic time point, 7 days post-return to play (RTP), and 6 months relative to controls (n = 69). The relationship between MD in the identified ROI and likelihood of sustaining a subsequent concussion over a 1-year period was examined with a binary logistic regression (re-injured, yes/no). Results: Eleven of 82 concussed athletes (13.4%) sustained a second concussion within 12 months of initial injury. Mean MD at 7 days post-RTP was significantly higher in those athletes who went on to sustain a repeat concussion within 1 year of initial injury than those who did not (p = 0.048; d = 0.75). In this underpowered sample, the relationship between MD at 7 days post-RTP and likelihood of sustaining a secondary injury approached significance [χ2 (1) = 4.17, p = 0.057; B = 0.03, SE = 0.017; OR = 1.03, CI = 0.99, 1.07]. Conclusions: These preliminary findings raise the hypothesis that persistent signal abnormalities in diffusion imaging metrics at RTP following concussion may be predictive of a repeat concussion. This may reflect a window of cerebral vulnerability or increased susceptibility following concussion, though understanding the clinical significance of these findings requires further study
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