De bijdrage van toevoeging van cacao aan tabak aan rookverslaving

In this report the effect of these compounds on the addiction to cigarette smoking was assessed, using currently available information in the literature on psychoactive compounds of cocoa. The investigated psychoactive cocoa compounds were theobromine, caffeine, serotonin, histamine, tryptophan, tryptamine, tyramine, phenylethylamine, octopamine and anandamide. The general conclusion is that the level of these compounds in added cocoa in cigarettes is not sufficient to increase the addiction to cigarette smoking.In dit rapport wordt de mogelijke bijdrage van cacao aan rookverslaving beschreven. Cacao wordt aan tabak toegevoegd om de smaak te verbeteren. Daarnaast bevat cacao tal van psychoactieve stoffen die mogelijk bijdragen aan rookverslaving Dit literatuuronderzoek beschrijft de blootstelling, farmacologie, farmacokinetiek, toxicologie, interacties en verslavende eigenschappen van de tien meest bekende stoffen in cacao. De onderzochte stoffen zijn theobromine, caffeine, serotonine, histamine, tryptofaan, tryptamine, tyramine, fenylethylamine, octopamine en anandamide. Deze stoffen komen ook via dranken en voedsel het lichaam binnen of worden door het lichaam zelf aangemaakt. Dit rapport laat zien dat de aan roken gerelateerde blootstelling aan de psychoactieve stoffen uit cacao gering is ten opzichte van de inname via voeding en dranken en/of de lichaamseigen productie van deze stoffen. Een systemisch effect lijkt derhalve onwaarschijnlijk ook al omdat lichaamseigen stoffen snel worden afgebroken. Daarnaast kunnen deze stoffen, omdat ze geinhaleerd worden, een direct effect op de luchtwegen hebben. Daarmee zou de opname van nicotine beinvloed kunnen worden. De nicotine opname zou bijvoorbeeld kunnen toenemen via luchtwegverwijding door theobromine en cafe6ne of kunnen afnemen door luchtwegvernauwing door histamine. Dit rapport laat zien dat de aan roken gerelateerde blootstelling aan deze stoffen waarschijnlijk te gering is voor een direct effect op de luchtwegen. Verder dient te worden opgemerkt dat de hoeveelheid tryptamine, tyramine en fenylethylamine die via cacao wordt toegevoegd verwaarloosbaar is ten opzichte van de hoeveelheid die in tabak zelf aanwezig is. Tot slot is aandacht besteed aan de verbrandingsproducten van cacao. Amine verbindingen als serotonin, tryptofaan, tyramine, tryptamine en fenylethylamine vormen tijdens het roken stoffen die het enzym mono amine oxidase (MAO) remmen. MAO-remmers hebben een anti-depressieve werking en kunnen op die manier bijdragen aan rookverslaving. De conclusie van dit literatuur onderzoek is dat de afzonderlijke psychoactieve stoffen in tabak als gevolg van toevoeging van cacao niet direct bijdragen aan rookverslaving. De verbrandingsproducten van cacao doen dit, via remming van het enzym mono amine oxidase, mogelijk wel. Ook de smaak van cacao wordt geassocieerd met verslaving. De literatuur biedt geen inzicht in het effect op gezondheid en verslaving van het inhaleren van de combinatie van de 10 onderzochte stoffen uit cacao

Non-Equilibrium Quasiclassical Theory for Josephson Structures

We present a non-equilibrium quasiclassical formalism suitable for studying linear response ac properties of Josephson junctions. The non-equilibrium self-consistency equations are satisfied, to very good accuracy, already in zeroth iteration. We use the formalism to study ac Josephson effect in a ballistic superconducting point contact. The real and imaginary parts of the ac linear conductance are calculated both analytically (at low frequencies) and numerically (at arbitrary frequency). They show strong temperature, frequency, and phase dependence. Many anomalous properties appear near phi = pi. We ascribe them to the presence of zero energy bound states.Comment: 11 pages, 9 figures, Final version to appear in PR

CCD photometric search for peculiar stars in open clusters. VII. Berkeley 11, Berkeley 94, Haffner 15, Lynga 1, NGC 6031, NGC 6405, NGC 6834 and Ruprecht 130

The detection of magnetic chemically peculiar (CP2) stars in open clusters of the Milky Way can be used to study the influence of different galactic environments on the (non-)presence of peculiarities, which has to be taken into account in stellar evolution models. Furthermore it is still unknown if the CP2 phenomenon evolves, i.e. does the strength of the peculiarity feature at 5200A, increase or decrease with age. We have observed eight young to intermediate age open clusters in the Delta a photometric system. This intermediate band photometric system samples the depth of the 5200A, flux depression by comparing the flux at the center with the adjacent regions having bandwidths of 110A, to 230A. The Delta a photometric system is most suitable to detect CP2 stars with high efficiency, but is also capable of detecting a small percentage of non-magnetic CP objects. Also, the groups of (metal-weak) lambda Bootis, as well as classical Be/shell stars, can be successfully investigated. This photometric system allows one to determine the age, reddening and distance modulus by fitting isochrones. Among the presented sample of eight galactic clusters, we have detected twenty three CP2, eight Be/Ae and eight metal-weak stars. Another six objects show a peculiar behaviour which is most probably due to a non-membership,variability or duplicity. Fitting isochrones to Delta a photometry yields estimates of the age, reddening and distance that are in excellent agreement with published values

Pregnancy-related pelvic girdle pain: an update

A large number of scientists from a wide range of medical and surgical disciplines have reported on the existence and characteristics of the clinical syndrome of pelvic girdle pain during or after pregnancy. This syndrome refers to a musculoskeletal type of persistent pain localised at the anterior and/or posterior aspect of the pelvic ring. The pain may radiate across the hip joint and the thigh bones. The symptoms may begin either during the first trimester of pregnancy, at labour or even during the postpartum period. The physiological processes characterising this clinical entity remain obscure. In this review, the definition and epidemiology, as well as a proposed diagnostic algorithm and treatment options, are presented. Ongoing research is desirable to establish clear management strategies that are based on the pathophysiologic mechanisms responsible for the escalation of the syndrome's symptoms to a fraction of the population of pregnant women

3D-MRI rendering of the anatomical structures related to acupuncture points of the Dai mai, Yin qiao mai and Yang qiao mai meridians within the context of the WOMED concept of lateral tension: implications for musculoskeletal disease

BACKGROUND: A conceptual model of lateral muscular tension in patients presenting thyroid associated ophthalmopathy (TAO) has been recently described. Clinical improvement has been achieved by using acupuncture on points belonging to the so-called extraordinary meridians. The aim of this study was to characterize the anatomical structures related to these acupuncture points by means of 3D MRI image rendering relying on external markers. METHODS: The investigation was carried out the index case patient of the lateral tension model. A licensed medical acupuncture practitioner located the following acupuncture points: 1) Yin qiao mai meridian (medial ankle): Kidney 3, Kidney 6, the plantar Kidney 6 (Nan jing description); 2) Yang qiao mai meridian (lateral ankle): Bladder 62, Bladder 59, Bladder 61, and the plantar Bladder 62 (Nan jing description); 3) Dai mai meridian (wait): Liver 13, Gall bladder 26, Gall bladder 27, Gall bladder 28, and Gall bladder 29. The points were marked by taping a nitro-glycerin capsule on the skin. Imaging was done on a Siemens Magnetom Avanto MR scanner using an array head and body coil. Mainly T1-weighted imaging sequences, as routinely used for patient exams, were used to obtain multi-slice images. The image data were rendered in 3D modus using dedicated software (Leonardo, Siemens). RESULTS: Points of the Dai mai meridian – at the level of the waist – corresponded to the obliquus externus abdominis and the obliquus internus abdominis. Points of the Yin qiao mai meridian – at the medial side of the ankle – corresponded to tendinous structures of the flexor digitorum longus as well as to muscular structures of the abductor hallucis on the foot sole. Points of the Yang qiao mai meridian – at the lateral side of the ankle – corresponded to tendinous structures of the peroneus brevis, the peroneous longus, and the lateral surface of the calcaneus and close to the foot sole to the abductor digiti minimi. CONCLUSION: This non-invasive MRI investigation has revealed the anatomical relations of acupuncture points belonging to 3 of the so-called extraordinary meridians. We conclude that the clinically developed "WOMED concept of lateral tension" is related to tendino-muscular structures

Nitroxyl (HNO) Stimulates Soluble Guanylyl Cyclase to Suppress Cardiomyocyte Hypertrophy and Superoxide Generation

Background: New therapeutic targets for cardiac hypertrophy, an independent risk factor for heart failure and death, are essential. HNO is a novel redox sibling of NON attracting considerable attention for the treatment of cardiovascular disorders, eliciting cGMP-dependent vasodilatation yet cGMP-independent positive inotropy. The impact of HNO on cardiac hypertrophy (which is negatively regulated by cGMP) however has not been investigated. Methods: Neonatal rat cardiomyocytes were incubated with angiotensin II (Ang II) in the presence and absence of the HNO donor Angeli’s salt (sodium trioxodinitrate) or B-type natriuretic peptide, BNP (all 1 mmol/L). Hypertrophic responses and its triggers, as well as cGMP signaling, were determined. Results: We now demonstrate that Angeli’s salt inhibits Ang II-induced hypertrophic responses in cardiomyocytes, including increases in cardiomyocyte size, de novo protein synthesis and b-myosin heavy chain expression. Angeli’s salt also suppresses Ang II induction of key triggers of the cardiomyocyte hypertrophic response, including NADPH oxidase (on both Nox2 expression and superoxide generation), as well as p38 mitogen-activated protein kinase (p38MAPK). The antihypertrophic, superoxide-suppressing and cGMP-elevating effects of Angeli’s salt were mimicked by BNP. We also demonstrate that the effects of Angeli’s salt are specifically mediated by HNO (with no role for NON or nitrite), with subsequent activation of cardiomyocyte soluble guanylyl cyclase (sGC) and cGMP signaling (on both cGMP-dependen

Gait in Pregnancy-related Pelvic girdle Pain: amplitudes, timing, and coordination of horizontal trunk rotations

Walking is impaired in Pregnancy-related Pelvic girdle Pain (PPP). Walking velocity is reduced, and in postpartum PPP relative phase between horizontal pelvis and thorax rotations was found to be lower at higher velocities, and rotational amplitudes tended to be larger. While attempting to confirm these findings for PPP during pregnancy, we wanted to identify underlying mechanisms. We compared gait kinematics of 12 healthy pregnant women and 12 pregnant women with PPP, focusing on the amplitudes of transverse segmental rotations, the timing and relative phase of these rotations, and the amplitude of spinal rotations. In PPP during pregnancy walking velocity was lower than in controls, and negatively correlated with fear of movement. While patients’ rotational amplitudes were larger, with large inter-individual differences, spinal rotations did not differ between groups. In the patients, peak thorax rotation occurred earlier in the stride cycle at higher velocities, and relative phase was lower. The earlier results on postpartum PPP were confirmed for PPP during pregnancy. Spinal rotations remained unaffected, while at higher velocities the peak of thorax rotations occurred earlier in the stride cycle. The latter change may serve to avoid excessive spine rotations caused by the larger segmental rotations

Pelvic girdle pain - associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study

<p>Abstract</p> <p>Background</p> <p>Recent studies have shown high prevalence rates for pelvic girdle pain (PGP) in pregnancy. Some risk factors for developing PGP have been suggested, but the evidence is weak. Furthermore there is almost no data on how findings from clinical examinations are related to subsequent PGP. The main purpose for this study was to study the associations between socio-demographical, psychological and clinical factors measured at inclusion in early pregnancy and disability or pain intensity in gestation week 30.</p> <p>Methods</p> <p>This is a prospective cohort study following women from early to late pregnancy. Eligible women were recruited at their first attendance at the maternity care unit. 268 pregnant women answered questionnaires and underwent clinical examinations in early pregnancy and in gestation week 30. We used scores on disability and pain intensity in gestation week 30 as outcome measures to capture the affliction level of PGP. Multiple linear regression analysis was used to study the associations between potential risk factors measured in early pregnancy and disability or pain intensity in gestation week 30.</p> <p>Results</p> <p>Self-reported pain locations in the pelvis, positive posterior pelvic pain provocation (P4) test and a sum of pain provocation tests in early pregnancy were significantly associated with disability and pain intensity in gestation week 30 in a multivariable statistic model. In addition, distress was significantly associated with disability. The functional active straight leg raise (ASLR) test, fear avoidance beliefs and the number of pain sites were not significantly associated with either disability or pain intensity.</p> <p>Conclusions</p> <p>The results suggest that a clinical examination, including a few tests, performed in early pregnancy may identify women at risk of a more severe PGP late in pregnancy. The identification of clinical risk factors may provide a foundation for development of targeted prevention strategies.</p

Exploring the effect of pelvic belt configurations upon athletic lumbopelvic pain

Background: Lumbopelvic injuries are often refractory to treatment and can limit return to sport. Research shows that 50 Newtons (N) of force applied transversely to the pelvis improves lumbopelvic stability and pain. This study applies transverse and diagonal forces to the pelvis in athletes with lumbopelvic pain, and investigates effects on pain and function. Objective: To investigate the effects of transverse and diagonal compressive forces applied to the pelvis of athletes with lumbopelvic pain Study Design: A randomized, repeated measures design using 20 athletes with lumbopelvic pain. Methods: No belt and four pelvic belt configurations (50 N force) were tested. Outcome measures were: resting pain, pain on active straight leg raise (ASLR), resisted hip adduction force and pain on 1-metre broad jump. Force on the adduction test was determined via load cell. Results: Data were analyzed using repeated measures ANOVA. Squeeze test showed significant effect of condition F (4, 76) = 2.7, P < 0.05. On ASLR ipsilateral to the side of pain, pain decreased across conditions (F (4, 76) = 2.5 P = 0.05). Conclusion: Results suggest application of diagonal forces towards the site of pain may have additional benefits in improving pain and function. Such information may inform the development of an orthosis. Clinical relevance The results may be used clinically to determine the effectiveness of different belt placements (with belts or straps) in managing athletic lumbopelvic pain. The results offer an alternative to the application of transverse belts, and may inform new approaches in the development of orthotics