Linking an Early Triassic delta to antecedent topography: Source-to-sink study of the southwestern Barents Sea margin

Present-day catchments adjacent to sedimentary basins may preserve geomorphic elements that have been active through long intervals of time. Relicts of ancient catchments in present-day landscapes may be investigated using mass-balance models and can give important information about upland landscape evolution and reservoir distribution in adjacent basins. However, such methods are in their infancy and are often difficult to apply in deep-time settings due to later landscape modification. The southern Barents Sea margin of N Norway and NW Russia is ideal for investigating source-to-sink models, because it has been subject to minor tectonic activity since the Carboniferous, and large parts have eluded significant Quaternary glacial erosion. A zone close to the present-day coast has likely acted as the boundary between basin and catchments since the Carboniferous. Around the Permian-Triassic transition, a large delta system started to prograde from the same area as the present-day largest river in the area, the Tana River, which has long been interpreted to show features indicating that it was developed prior to present-day topography. We performed a source-to-sink study of this ancient system in order to investigate potential linkages between present-day geomorphology and ancient deposits. We investigated the sediment load of the ancient delta using well, core, two-dimensional and three-dimensional seismic data, and digital elevation models to investigate the geomorphology of the onshore catchment and surrounding areas. Our results imply that the present-day Tana catchment was formed close to the Permian-Triassic transition, and that the Triassic delta system has much better reservoir properties compared to the rest of Triassic basin infill. This implies that landscapes may indeed preserve catchment geometries for extended periods of time, and it demonstrates that source-to-sink techniques can be instrumental in predicting the extent and quality of subsurface reservoirs.publishedVersio

Arachnoid cysts do not contain cerebrospinal fluid: A comparative chemical analysis of arachnoid cyst fluid and cerebrospinal fluid in adults

<p>Abstract</p> <p>Background</p> <p>Arachnoid cyst (AC) fluid has not previously been compared with cerebrospinal fluid (CSF) from the same patient. ACs are commonly referred to as containing "CSF-like fluid". The objective of this study was to characterize AC fluid by clinical chemistry and to compare AC fluid to CSF drawn from the same patient. Such comparative analysis can shed further light on the mechanisms for filling and sustaining of ACs.</p> <p>Methods</p> <p>Cyst fluid from 15 adult patients with unilateral temporal AC (9 female, 6 male, age 22-77y) was compared with CSF from the same patients by clinical chemical analysis.</p> <p>Results</p> <p>AC fluid and CSF had the same osmolarity. There were no significant differences in the concentrations of sodium, potassium, chloride, calcium, magnesium or glucose. We found significant elevated concentration of phosphate in AC fluid (0.39 versus 0.35 mmol/L in CSF; <it>p </it>= 0.02), and significantly reduced concentrations of total protein (0.30 versus 0.41 g/L; <it>p </it>= 0.004), of ferritin (7.8 versus 25.5 ug/L; <it>p </it>= 0.001) and of lactate dehydrogenase (17.9 versus 35.6 U/L; <it>p </it>= 0.002) in AC fluid relative to CSF.</p> <p>Conclusions</p> <p>AC fluid is not identical to CSF. The differential composition of AC fluid relative to CSF supports secretion or active transport as the mechanism underlying cyst filling. Oncotic pressure gradients or slit-valves as mechanisms for generating fluid in temporal ACs are not supported by these results.</p

Training Strategies to Improve Muscle Power: Is Olympic-style Weightlifting Relevant?

Introduction: This efficacy study investigated the effects of (1) Olympic-style weightlifting (OWL), (2) motorized strength and power training (MSPT), and (3) free weight strength and power training (FSPT) on muscle power. Methods: Thirty-nine young athletes (20±3 yr.; ice hockey, volleyball and badminton) were randomized into the three training groups. All groups participated in 2-3 sessions/week for 8 weeks. The MSPT and FSPT groups trained using squats (two legs and single leg) with high force and high power, while the OWL group trained using clean and snatch exercises. MSPT was conducted as slow-speed isokinetic strength training and isotonic power training with augmented eccentric load, controlled by a computerized robotic engine system. FSPT used free weights. The training volume (sum of repetitions x kg) was similar between all three groups. Vertical jumping capabilities were assessed by countermovement jump (CMJ), squat jump (SJ), drop jump (DJ), and loaded CMJs (10-80 kg). Sprinting capacity was assessed in a 30 m sprint. Secondary variables were squat 1-repetitionmaximum, body composition and quadriceps thickness and architecture. Results: OWL resulted in trivial improvements, and inferior gains compared to FSPT and MSPT for CMJ, SJ, and DJ. MSPT demonstrated small, but robust effects on SJ, DJ and loaded CMJs (3-12%). MSPT was superior to FSPT in improving 30 m sprint performance. FSPT and MSPT, but not OWL, demonstrated increased thickness in the vastus lateralis and rectus femoris (4-7%). Conclusion: MSPT was time-efficient and equally or more effective than FSPT training in improving vertical jumping and sprinting performance. OWL was generally ineffective and inferior to the two other interventions.Training Strategies to Improve Muscle Power: Is Olympic-style Weightlifting Relevant?acceptedVersio

Impaired cerebrovascular reactivity may predict delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage

Introduction: Delayed cerebral ischemia (DCI) is a major cause of disability and death after aneurysmal subarachnoid hemorrhage. The literature suggests that impaired cerebrovascular reactivity (CVR) may be a predictor for DCI; still no CVR based prediction model has been developed. Increased knowledge about possible predictors of DCI can improve patient management in high-risk patients and allow for shorter hospital stay in low-risk patients. Method: CVR was examined in 42 patients with aneurysmal subarachnoid hemorrhage and 37 patients treated for unruptured intracranial aneurysm, using acetazolamide test with transcranial Doppler monitoring of blood flow velocities. Patients were followed for development of DCI, separated into clinical deterioration and radiographic infarction. Results: For all patients, regardless of aneurysm rupture status, CVR was on average 5.5 percentage points lower on the ipsilateral side of aneurysm treatment. Patients with clinical deterioration due to DCI had lower CVR than patients without DCI, and the difference was larger on the contralateral side (33.9% vs. 49.2%). Two prediction models were constructed for clinical deterioration due to DCI. The area under the receiver operating characteristic curve was 0.82 in the model using established predictors, and 0.86 in the model that also included CVR. Conclusion: Our findings support the hypothesis that impaired CVR may be an independent predictor of clinical deterioration due to DCI, and may assist in identifying patients at risk after aneurysmal subarachnoid hemorrhage. Ipsilateral CVR reduction occurs in all patients after aneurysm treatment, regardless of DCI development, thus highlighting the need to evaluate ipsi- and contralateral CVR separately.publishedVersio

PathTracer: High-sensitivity detection of differential pathway activity in tumours

Abstract: Gene expression profiling of tumours is an important source of information for cancer patient stratification. Detecting subtle alterations of gene expression remains a challenge, however. Here, we propose a novel tool for high-sensitivity detection of differential pathway activity in tumours. For a pathway defined by a collection of genes, the samples are projected onto a low-dimensional manifold in the subspace spanned by those genes. For each sample, a score is next found by calculating the distance between each projected sample and the projection of a subgroup of reference samples. Depending on the aim of the analysis and the available data, the reference samples may represent e.g. normal tissue or tumour samples with a particular genotype or phenotype. The proposed tool, PathTracer, is demonstrated on gene expression data from 1952 invasive breast cancer samples, 10 DCIS, 9 benign samples and 144 tumour adjacent normal breast tissue samples. PathTracer scores are shown to predict survival, clinical subtypes, cellular proliferation and genomic instability. Furthermore, predictions are shown to outperform those obtained with other comparable methods

Continuous Local Intra-Arterial Nimodipine for the Treatment of Cerebral Vasospasm

Vasospasm (VSP) is one of the major causes for prolonged neurologic deficit in patients with aneurysmal subarachnoid hemorrhage. Few case series have reported about continuous local intra-arterial nimodipine administration (CLINA) in refractory VSP. We report our experience with CLINA in a patient with refractory cerebral VSP.publishedVersio

Eccentric cycling does not improve cycling performance in amateur cyclists

Eccentric cycling training induces muscle hypertrophy and increases joint power output in non-athletes. Moreover, eccentric cycling can be considered a movement-specific type of strength training for cyclists, but it is hitherto unknown if eccentric cycling training can improve cycling performance in trained cyclists. Twenty-three male amateur cyclists were randomized to an eccentric or a concentric cycling training group. The eccentric cycling was performed at a low cadence (~40 revolution per minute) and the intensity was controlled by perceived effort (12–17 on the Borgs scale) during 2 min intervals (repeated 5–8 times). The cadence and perceived effort of the concentric group matched those of the eccentric group. Additionally, after the eccentric or concentric cycling, both groups performed traditionally aerobic intervals with freely chosen cadence in the same session (4–5 x 4–15 min). The participants trained twice a week for 10 weeks. Maximal oxygen uptake (VO2max), maximal aerobic power output (Wmax), lactate threshold, isokinetic strength, muscle thickness, pedaling characteristics and cycling performance (6- and 30-sec sprints and a 20-min time trial test) were assessed before and after the intervention period. Inferences about the true value of the effects were evaluated using probabilistic magnitude-based inferences. Eccentric cycling induced muscle hypertrophy (2.3 ± 2.5% more than concentric) and augmented eccentric strength (8.8 ± 5.9% more than concentric), but these small magnitude effects seemed not to transfer into improvements in the physiological assessments or cycling performance. On the contrary, the eccentric training appeared to have limiting or detrimental effects on cycling performance, measured as Wmax and a 20-min time trial. In conclusion, eccentric cycling training did not improve cycling performance in amateur cyclists. Further research is required to ascertain whether the present findings reflect an actual lack of efficacy, negative effects or a delayed response to eccentric cycling training.publishedVersio

Intratumor heterogeneity defines treatment-resistant HER2+ breast tumors.

Targeted therapy for patients with HER2-positive (HER2+) breast cancer has improved overall survival, but many patients still suffer relapse and death from the disease. Intratumor heterogeneity of both estrogen receptor (ER) and HER2 expression has been proposed to play a key role in treatment failure, but little work has been done to comprehensively study this heterogeneity at the single-cell level. In this study, we explored the clinical impact of intratumor heterogeneity of ER protein expression, HER2 protein expression, and HER2 gene copy number alterations. Using combined immunofluorescence and in situ hybridization on tissue sections followed by a validated computational approach, we analyzed more than 13 000 single tumor cells across 37 HER2+ breast tumors. The samples were taken both before and after neoadjuvant chemotherapy plus HER2-targeted treatment, enabling us to study tumor evolution as well. We found that intratumor heterogeneity for HER2 copy number varied substantially between patient samples. Highly heterogeneous tumors were associated with significantly shorter disease-free survival and fewer long-term survivors. Patients for which HER2 characteristics did not change during treatment had a significantly worse outcome. This work shows the impact of intratumor heterogeneity in molecular diagnostics for treatment selection in HER2+ breast cancer patients and the power of computational scoring methods to evaluate in situ molecular markers in tissue biopsies

Force-velocity profiling in athletes: Reliability and agreement across methods

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Strength and Power Testing of Athletes: A Multicenter Study of Test-Retest Reliability

Author's accepted manuscriptAccepted author manuscript version reprinted, by permission, from International Journal of Sports Physiology and Performance (IJSPP), 2022, 17 (7): 1103-1110, https://doi.org/10.1123/ijspp.2021-0558. © Human Kinetics, Inc.Purpose:This study examined the test–retest reliability of common assessments for measuring strength and power of the lowerbody in high-performing athletes.Methods:A total of 100 participants, including both male (n=83) and female (n=17) athletes(21 [4] y, 182 [9] cm, and 78 [12] kg), were recruited for this study, using a multicenter approach. The participants underwentphysical testing 4 times. Thefirst 2 sessions (1 and 2) were separated by∼1 week, followed by a period of 2 to 6 months, whereasthe last 2 sessions (3 and 4) were again separated by∼1 week. The test protocol consisted of squat jumps, countermovementjumps, jump and reach, 30-m sprint, 1-repetition-maximum squat, sprint cycling, and a leg-press test.Results:The typical error(%) ranged from 1.3% to 8.5% for all assessments. The change in means ranged from−1.5% to 2.5% for all assessments, whereasthe interclass correlation coefficient ranged from .85 to .97. The smallest worthwhile change (0.2 of baseline SD) ranged from1.2% to 5.0%. The ratio between the typical error (%) and the smallest worthwhile change (%) ranged from 0.5 to 1.2. Whenobserving the reliability across testing centers, considerable differences in reliability were observed (typical error [%] ratio: 0.44–1.44).Conclusions:Most of the included assessments can be used with confidence by researchers and coaches to measurestrength and power in athletes. Our results highlight the importance of controlling testing reliability at each testing center and notrelying on data from others, despite having applied the same protocol.acceptedVersio