Health status in non-dystrophic myotonias: close relation with pain and fatigue

To determine self-reported health status in non-dystrophic myotonias (NDM) and its relationship to painful myotonia and fatigue. In a cross-sectional study, 32 NDM patients with chloride and 30 with sodium channelopathies, all off treatment, completed a standardised interview, the fatigue assessment scale (FAS), and the 36-item Short-Form Health Survey (SF-36). Beside formal assessment of pain, assessment of painful or painless myotonia was determined. The domain scores of the SF-36 were compared with Dutch community scores. Apart from the relationship among SF-36 scores and (1) painful myotonia and (2) fatigue, regression analyses in both NDM groups were conducted to determine the strongest determinants of the SF-36 domains general health perception, physical component (PCS) and mental component summary (MCS). All physically oriented SF-36 domains in both NDM groups (P ≤ 0.01) and social functioning in the patients with sodium channelopathies (P = 0.048) were substantially lower relative to the Dutch community scores. The patients with painful myotonia (41.9%) scored substantially (P < 0.05) lower on most SF-36 domains than the patients without painful myotonia (58.1%). Fatigued patients (53.2%) scored substantially lower (P ≤ 0.01) on all SF-36 domains than their non-fatigued counterparts (46.8%). The regression analysis showed that fatigue was the strongest predictor for the general-health perception and painful myotonia for the physical-component summary. None of the patients showed below-norm scores on the domain mental-component summary. The impact of NDM on the physical domains of patients’ health status is substantial, and particularly painful myotonia and fatigue tend to impede their physical functioning

Sex differences in cardiovascular complications and mortality in hospital patients with covid-19: registry based observational study

Objective To assess whether the risk of cardiovascular complications of covid-19 differ between the sexes and to determine whether any sex differences in risk are reduced in individuals with pre-existing cardiovascular disease. Design Registry based observational study. Setting 74 hospitals across 13 countries (eight European) participating in CAPACITY-COVID (Cardiac complicAtions in Patients With SARS Corona vIrus 2 regisTrY), from March 2020 to May 2021 Participants All adults (aged ≥18 years), predominantly European, admitted to hospital with highly suspected covid-19 disease or covid-19 disease confirmed by positive laboratory test results (n=11 167 patients). Main outcome measures Any cardiovascular complication during admission to hospital. Secondary outcomes were in-hospital mortality and individual cardiovascular complications with ≥20 events for each sex. Logistic regression was used to examine sex differences in the risk of cardiovascular outcomes, overall and grouped by pre-existing cardiovascular disease. Results Of 11 167 adults (median age 68 years, 40% female participants) included, 3423 (36% of whom were female participants) had pre-existing cardiovascular disease. In both sexes, the most common cardiovascular complications were supraventricular tachycardias (4% of female participants, 6% of male participants), pulmonary embolism (3% and 5%), and heart failure (decompensated or de novo) (2% in both sexes). After adjusting for age, ethnic group, pre-existing cardiovascular disease, and risk factors for cardiovascular disease, female individuals were less likely than male individuals to have a cardiovascular complication (odds ratio 0.72, 95% confidence interval 0.64 to 0.80) or die (0.65, 0.59 to 0.72). Differences between the sexes were not modified by pre-existing cardiovascular disease; for the primary outcome, the female-to-male ratio of the odds ratio in those without, compared with those with, pre-existing cardiovascular disease was 0.84 (0.67 to 1.07). Conclusions In patients admitted to hospital for covid-19, female participants were less likely than male participants to have a cardiovascular complication. The differences between the sexes could not be attributed to the lower prevalence of pre-existing cardiovascular disease in female individuals. The reasons for this advantage in female individuals requires further research

Quantitative assessment of renal perfusion and oxygenation by invasive probes: basic concepts

Renal tissue hypoperfusion and hypoxia are early key elements in the pathophysiology of acute kidney injury of various origins, and may also promote progression from acute injury to chronic kidney disease. Here we describe basic principles of methodology to quantify renal hemodynamics and tissue oxygenation by means of invasive probes in experimental animals. Advantages and disadvantages of the various methods are discussed in the context of the heterogeneity of renal tissue perfusion and oxygenation.This chapter is based upon work from the COST Action PARENCHIMA, a community-driven network funded by the European Cooperation in Science and Technology (COST) program of the European Union, which aims to improve the reproducibility and standardization of renal MRI biomarkers. This introduction chapter is complemented by a separate chapter describing the experimental procedure and data analysis

Potential for the development of marsh vegetation from the seed bank after a drawdown

In the inundated part of the Oostvaardersplassen, a marsh in The Netherlands, most of the emergent vegetation disappeared due to herbivory and erosion, resulting in a shallow lake. The emergent vegetation was successfully re-established by means of a drawdown. A comparable flooded marsh was studied to describe its seed bank and to find out if it was possible to make an accurate prediction of the vegetation developments after a drawdown based on the Van der Valk model on succession in wetlands. Two different zones could be distinguished in the lake. These differed mainly in the number of seeds found, not in the species composition of their seed banks. The short-term prediction that Typha latifolia would become dominant did not always match the actual pioneer vegetation that developed, several different communities developed from similar seed banks. The long-term prediction, that Phragmites australis would become dominant after four years of drawdown, was fulfilled

Olfactory response of two aphid parasitoids, Lysiphlebus testaceipes and Aphidius colemani, to aphid-infested plants from a distance

The role of volatile stimuli in the host-searching behaviour of the two parasitoid species Lysiphlebus testaceipes Cresson and Aphidius colemani Viereck (Hymenoptera: Braconidae) was studied in relation to the host Aphis gossypii Glover (Homoptera: Aphididae) on cucumber plants, Cucumis sativa L. (Cucurbitaceae). Experiments were carried out in the laboratory in a wind tunnel, exposing individual parasitoids to signals from three sources simultaneously: (1) a complex of cucumber plants, Cucumis sativa, and A. gossypii; (2) uninfested cucumber plants; and (3) dummy cardboard plants. The flight response of the female parasitoids was considered oriented when they landed on plants and non-oriented when the females landed elsewhere (tunnel floor, sides, or top). Results showed that the proportion of oriented flights was significantly higher than non-oriented flights. A comparison between the two wasp species suggested that A. colemani females may be better able to locate plants than L testaceipes, as the proportion of females that made an oriented flight was higher in this species. For females of both wasp species which made an oriented flight, landing was more often observed on real plants (i.e., with no difference between infested and uninfested plants), than on dummy plants. A description of the flight behaviour of the two parasitoid species is presented. One difference between the species was that flight duration was higher in L. testaceipes than in A. colemani. This work shows that the two parasitoid species respond to stimuli from the host-plants of A. gossypii in a similar way to parasitoids of aphid pests in other crop