Vascular dysfunction and exercise

The endothelium regulates vascular permeability and actively controls the exchange of molecules in response to environmental and molecular signals. Endothelial cells regulate vascular tone by releasing a number of soluble mediators, including nitric oxide, prostaglandin I2, and endothelium-derived hyperpolarizing factor. Misbalance between pro-oxidants and antioxidants results in increased production of reactive oxygen species, increased oxidative stress and endothelial dysfunction. Endothelium dysfunction is characterized by an impaired nitric oxide bioavailability due to reduced production of nitric oxide, reduced endothelium-dependent hyper-polarization and enhanced production of contracting factors. Endothelium dysfunction leads to vascular remodeling by vascular smooth muscle cells proliferation, migration and extracellular matrix remodeling. The presence of impaired endotheliumdependent vasodilation is a marker of endothelial dysfunction. The benefits of exercise on the cardiovascular system have long been recognized. Most clinical and experimental studies have reported beneficial effects of regular physical activity in increasing nitric oxide bioavailability and reducing oxidative stress. Therefore, regular physical exercise may be a protective factor against vascular dysfunction induced by acute exertion

Survival of outborns with congenital diaphragmatic hernia: the role of protective ventilation, early presentation and transport distance: a retrospective cohort study

BACKGROUND: Congenital diaphragmatic hernia (CDH) is a congenital malformation associated with life-threatening pulmonary dysfunction and high neonatal mortality. Outcomes are improved with protective ventilation, less severe pulmonary pathology, and the proximity of the treating center to the site of delivery. The major CDH treatment center in Croatia lacks a maternity ward, thus all CDH patients are transferred from local Zagreb hospitals or remote areas (outborns). In 2000 this center adopted protective ventilation for CDH management. In the present study we assess the roles of protective ventilation, transport distance, and severity of pulmonary pathology on survival of neonates with CDH. ----- METHODS: The study was divided into Epoch I, (1990-1999, traditional ventilation to achieve normocapnia), and Epoch II, (2000-2014, protective ventilation with permissive hypercapnia). Patients were categorized by transfer distance (local hospital or remote locations) and by acuity of respiratory distress after delivery (early presentation-occurring at birth, or late presentation, ≥ 6 h after delivery). Survival between epochs, types of transfers, and acuity of presentation were assessed. An additional analysis was assessed for the potential association between survival and end-capillary blood CO2 (PcCO2), an indirect measure of pulmonary pathology. ----- RESULTS: There were 83 neonates, 26 in Epoch I, and 57 in Epoch II. In Epoch I 11 patients (42%) survived, and in Epoch II 38 (67%) (P = 0.039). Survival with early presentation (N = 63) was 48 % and with late presentation 95% (P <0.001). Among early presentation, survival was higher in Epoch II vs. Epoch I (57% vs. 26%, P = 0.031). From multiple logistic regression analysis restricted to neonates with early presentation and adjusting for severity of disease, survival was improved in Epoch II (OR 4.8, 95%CI 1.3-18.0, P = 0.019). Survival was unrelated to distance of transfer but improved with lower partial pressure of PcCO2 on admission (OR 1.16, 95%CI 1.01-1.33 per 5 mmHg decrease, P = 0.031). ----- CONCLUSIONS: The introduction of protective ventilation was associated with improved survival in neonates with early presentation. Survival did not differ between local and remote transfers, but primarily depended on severity of pulmonary pathology as inferred from admission capillary PcCO2

Діагностика банкрутства в системі антикризового управління

Розглянуто питання відповідності і значимості діагностики фінансового стану кожної стадії антикризового управління. Діагностику банкрутства визначено як ретроспективне, оперативне і перспективне дослідження господарської діяльності та процесу управління підприємством, направлене на виявлення параметрів кризового розвитку за допомогою реалізації комплексу дослідницьких процедур, виявлення слабких ланок і "вузьких місць".Рассмотрены вопросы соответствия и значимости диагностики каждой стадии антикризисного управления. Диагностика банкротства определена как ретроспективное, оперативное и перспективное исследование хозяйственной деятельности и процесса управления предприятием, направленное на выявление параметров кризисного развития с помощью реализации комплекса исследовательских процедур, выявления слабых зон и «узких мест».The article analyzes issues of adequacy and role of diagnostics in all stage of anti-crisis management. The diagnostics of bankruptcy is defined as a retrospective, operative and prospective study of enterprise’s economic activity and management process that is directed to identification of parameters of crisis development by using comprehensive researches and to finding weak spots and "bottlenecks"

A common variant of the MACC1 gene is significantly associated with overall survival in colorectal cancer patients

<p>Abstract</p> <p>Background</p> <p>The newly discovered metastasis-associated in colon cancer-1 (MACC1) gene is a key regulator of the HGF/MET pathway. Deregulation of HGF/MET signaling is reported as a prognostic marker for tumorigenesis, early stage invasion, and metastasis. High expression levels of MACC1 have been associated with colon cancer metastasis and reduced survival. Potential links between the genetic diversity of the MACC1 locus and overall survival are unknown. We therefore investigated the association between MACC1 tagging single nucleotide polymorphisms (SNPs) and overall survival in a large cohort of colorectal cancer patients.</p> <p>Methods</p> <p>The study included 318 subjects with histopathologically proven colorectal cancer at the Academic Teaching Hospital Feldkirch, Austria. Survival data were provided by the federal agency for statistics in Austria. Genomic DNA was isolated from formalin-fixed paraffin-embedded specimens; six tagging SNPs (rs1990172, rs3114446, rs10275612, rs3095007, rs3095009, and rs7780032), capturing most of the common variants of the MACC1 locus, were genotyped by SNaPshot assays.</p> <p>Results</p> <p>Over a mean follow up period of 5.3 (± 1.0) years, 94 deaths were recorded. Carriers of the G-allele of SNP rs1990172 showed a significantly decreased overall survival (additive HR = 1.38 [1.05-1.82]; <it>p </it>= 0.023). Multivariate analysis adjusted for age and UICC tumor stage confirmed this result (HR = 1.49 [1.12-1.98]; <it>p </it>= 0.007). Other investigated genetic variants of the MACC1 gene were not significantly associated with overall survival (<it>p</it>-values > 0.05).</p> <p>Conclusions</p> <p>For the first time, our study investigated the influence of MACC1 tagging polymorphisms on overall survival suggesting SNP rs1990172 as a predictor for reduced overall survival in colorectal cancer patients. Further studies will be required to validate our findings.</p

Ultra rapid open pulled straw (OPS) vitrification is a perspective for freezing horse embryos

International audienceThe aim of this research was to evaluate ultra rapid OPS vitrification on the embryo viability. The OPS vitrification technique is comprised of ultra rapid freezing of a small drop in which the embryo is placed. Before the thin straw was plunged into the liquid nitrogen, the embryos were treated with highly concentrated cryoprotectant (CPA) solutions as follows: 18% ethylene glycol (EG), 18% dimethyl-sulfoxide (DMSO) and 0.4 M sucrose. Surgical transfer into the recipient mares and morphologic examination of recollected embryos were used to measure the viability of transferred embryos. The research was performed on Welsh pony mares by collecting the embryos 6.75 days after ovulation. Twenty embryos were vitrified and transferred, four in each recipient mare. At day twelve, nine embryos were recollected after flushing of the recipient urterus (56%, 9/19). In one recipient mare, endometritis was detected when the uterus was flushed. Among the sixteen recollected embryos, seven (44%) had normal morphology and well developed embryonic vesicles. The vitrification procedure used proved to be encouraging