496 research outputs found
Comparison of T1 mapping techniques for ECV quantification. histological validation and reproducibility of ShMOLLI versus multibreath-hold T1 quantification equilibrium contrast CMR
BACKGROUND: Myocardial extracellular volume (ECV) is elevated in fibrosis or infiltration and can be quantified by measuring the haematocrit with pre and post contrast T1 at sufficient contrast equilibrium. Equilibrium CMR (EQ-CMR), using a bolus-infusion protocol, has been shown to provide robust measurements of ECV using a multibreath-hold T1 pulse sequence. Newer, faster sequences for T1 mapping promise whole heart coverage and improved clinical utility, but have not been validated.
METHODS: Multibreathhold T1 quantification with heart rate correction and single breath-hold T1 mapping using Shortened Modified Look-Locker Inversion recovery (ShMOLLI) were used in equilibrium contrast CMR to generate ECV values and compared in 3 ways.Firstly, both techniques were compared in a spectrum of disease with variable ECV expansion (n=100, 50 healthy volunteers, 12 patients with hypertrophic cardiomyopathy, 18 with severe aortic stenosis, 20 with amyloid). Secondly, both techniques were correlated to human histological collagen volume fraction (CVF%, n=18, severe aortic stenosis biopsies). Thirdly, an assessment of test:retest reproducibility of the 2 CMR techniques was performed 1 week apart in individuals with widely different ECVs (n=10 healthy volunteers, n=7 amyloid patients).
RESULTS: More patients were able to perform ShMOLLI than the multibreath-hold technique (6% unable to breath-hold). ECV calculated by multibreath-hold T1 and ShMOLLI showed strong correlation (r(2)=0.892), little bias (bias -2.2%, 95%CI -8.9% to 4.6%) and good agreement (ICC 0.922, range 0.802 to 0.961, p<0.0001). ECV correlated with histological CVF% by multibreath-hold ECV (r(2)= 0.589) but better by ShMOLLI ECV (r(2)= 0.685). Inter-study reproducibility demonstrated that ShMOLLI ECV trended towards greater reproducibility than the multibreath-hold ECV, although this did not reach statistical significance (95%CI -4.9% to 5.4% versus 95%CI -6.4% to 7.3% respectively, p=0.21).
CONCLUSIONS: ECV quantification by single breath-hold ShMOLLI T1 mapping can measure ECV by EQ-CMR across the spectrum of interstitial expansion. It is procedurally better tolerated, slightly more reproducible and better correlates with histology compared to the older multibreath-hold FLASH techniques
Analysis of Students Industrial Work Experience Scheme (SIWES) in NIFFR and the Challenge of Skilled Fishery Extension Manpower Development in Nigeria
The study examined Student’s Industrial Work Experience Scheme
carried out in NIFFR visa-a-vise the challenge of skilled manpower
development for fishery extension. Secondary data collected from NIFFR
library and report of 2007 SIWES period was analysed descriptively. Out
of 617 students from 36 schools that visited NIFFR, 282 (46%) were for IT
from 16 tertiary institutions in the six geo-political zones. Over 80% of the
IT students were University students in the department of fisheries
dominated by institutions in the South West and North Central zones.
SIWES students spend 2-32 weeks to acquire skills and practical
knowledge in different aspects of fisheries like artisanal, aquaculture &
biotechnology, fish technology, environmental studies, and socioeconomic/
extension. High influx of students in the department of fisheries
is an indication that NIFFR adds value to graduates of fisheries. However,
it is appalling to note that students of agricultural extension never utilize
opportunities existing at NIFFR for industrial training like their
counterparts in fisheries department. This is a pointer to a large extent
that the challenge of training skilled and competent professionals for
fishery agricultural extension is still a mirage rather than a reality. To
reverse the ugly trend, students of agricultural extension in various
tertiary institutions should be compelled to spend at least two weeks of
their IT period at NIFFR for practical experience. This development will be
seen as a step in the right direction towards skill development and
changing student’s perception to seek livelihood in fishery particularly in
aquaculture to create jobs and reduce unemployment as well as building
competency and confidence
Analysis of Students Industrial Work Experience Scheme (SIWES) in NIFFR and the Challenge of Skilled Fishery Extension Manpower Development in Nigeria
The study examined Student’s Industrial Work Experience Scheme
carried out in NIFFR visa-a-vise the challenge of skilled manpower
development for fishery extension. Secondary data collected from NIFFR
library and report of 2007 SIWES period was analysed descriptively. Out
of 617 students from 36 schools that visited NIFFR, 282 (46%) were for IT
from 16 tertiary institutions in the six geo-political zones. Over 80% of the
IT students were University students in the department of fisheries
dominated by institutions in the South West and North Central zones.
SIWES students spend 2-32 weeks to acquire skills and practical
knowledge in different aspects of fisheries like artisanal, aquaculture &
biotechnology, fish technology, environmental studies, and socioeconomic/
extension. High influx of students in the department of fisheries
is an indication that NIFFR adds value to graduates of fisheries. However,
it is appalling to note that students of agricultural extension never utilize
opportunities existing at NIFFR for industrial training like their
counterparts in fisheries department. This is a pointer to a large extent
that the challenge of training skilled and competent professionals for
fishery agricultural extension is still a mirage rather than a reality. To
reverse the ugly trend, students of agricultural extension in various
tertiary institutions should be compelled to spend at least two weeks of
their IT period at NIFFR for practical experience. This development will be
seen as a step in the right direction towards skill development and
changing student’s perception to seek livelihood in fishery particularly in
aquaculture to create jobs and reduce unemployment as well as building
competency and confidence
ER-stress and basement membrane defects combine to cause glomerular and tubular renal disease caused by Col4a1 mutations
Collagen IV is a major component of basement membranes, and mutations in COL4A1, which encodes collagen IV alpha chain 1, cause a multisystemic disease encompassing cerebrovascular, eye and kidney defects. However, COL4A1 renal disease remains poorly characterized and its pathomolecular mechanisms are unknown. We show that Col4a1 mutations in mice cause hypotension and renal disease, including proteinuria and defects in Bowman's capsule and the glomerular basement membrane, indicating a role for Col4a1 in glomerular filtration. Impaired sodium reabsorption in the loop of Henle and distal nephron despite elevated aldosterone levels indicates that tubular defects contribute to the hypotension, highlighting a novel role for the basement membrane in vascular homeostasis by modulation of the tubular response to aldosterone. Col4a1 mutations also cause diabetes insipidus, whereby the tubular defects lead to polyuria associated with medullary atrophy and a subsequent reduction in the ability to upregulate aquaporin 2 and concentrate urine. Moreover, haematuria, haemorrhage and vascular basement membrane defects confirm an important vascular component. Interestingly, although structural and compositional basement membrane defects occurred in the glomerulus and Bowman's capsule, no tubular basement membrane defects were detected. By contrast, medullary atrophy was associated with chronic ER stress, providing evidence for cell-type-dependent molecular mechanisms of Col4a1 mutations. These data show that both basement membrane defects and ER stress contribute to Col4a1 renal disease, which has important implications for the development of treatment strategies for collagenopathies
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