840 research outputs found

    Cardiomyopathy in Offspring of Pregestational Diabetic Mouse Pregnancy

    Get PDF
    Purpose. To investigate cardiomyopathy in offspring in a mouse model of pregestational type 1 diabetic pregnancy. Methods. Pregestational diabetes was induced with STZ administration in female C57BL6/J mice that were subsequently mated with healthy C57BL6/J males. Offspring were sacrificed at embryonic day 18.5 and 6-week adolescent and 12-week adult stages. The size and number of cardiomyocyte nuclei and also the extent of collagen deposition within the hearts of diabetic and control offspring were assessed following cardiac tissue staining with either haematoxylin and eosin or Picrosirius red and subsequently quantified using automated digital image analysis. Results. Offspring from diabetic mice at embryonic day 18.5 had a significantly higher number of cardiomyocyte nuclei present compared to controls. These nuclei were also significantly smaller than controls. Collagen deposition was shown to be significantly increased in the hearts of diabetic offspring at the same age. No significant differences were found between the groups at 6 and 12 weeks. Conclusions. Our results from offspring of type 1 diabetic mice show increased myocardial collagen deposition in late gestation and have increased myocardial nuclear counts (hyperplasia) as opposed to increased myocardial nuclear size (hypertrophy) in late gestation. These changes normalize postpartum after removal from the maternal intrauterine environment

    Study protocol for evaluating the implementation and effectiveness of an emergency department longitudinal patient monitoring system using a mixed-methods approach

    Get PDF
    Background: Early detection of patient deterioration is a key element of patient safety as it allows timely clinical intervention and potential rescue, thus reducing the risks of serious patient safety incidents. Longitudinal patient monitoring systems have been widely recommended for use to detect clinical deterioration. However, there is conflicting evidence on whether they improve patient outcomes. This may in part be related to variation in the rigour with which they are implemented and evaluated. This study aims to evaluate the implementation and effectiveness of a longitudinal patient monitoring system designed for adult patients in the unique environment of the Emergency Department (ED). Methods: A novel participatory action research (PAR) approach is taken where socio-technical systems (STS) theory and analysis informs the implementation through the improvement methodology of ‘Plan Do Study Act’ (PDSA) cycles. We hypothesise that conducting an STS analysis of the ED before beginning the PDSA cycles will provide for a much richer understanding of the current situation and possible challenges to implementing the ED-specific longitudinal patient monitoring system. This methodology will enable both a process and an outcome evaluation of implementing the ED-specific longitudinal patient monitoring system. Process evaluations can help distinguish between interventions that have inherent faults and those that are badly executed. Discussion: Over 1.2 million patients attend EDs annually in Ireland; the successful implementation of an ED-specific longitudinal patient monitoring system has the potential to affect the care of a significant number of such patients. To the best of our knowledge, this is the first study combining PAR, STS and multiple PDSA cycles to evaluate the implementation of an ED-specific longitudinal patient monitoring system and to determine (through process and outcome evaluation) whether this system can significantly improve patient outcomes by early detection and appropriate intervention for patients at risk of clinical deterioration

    Erysichthon's Forest:for soprano, bass, cello and piano

    Get PDF
    Programme Note:The story of Erysichthon pulls no punches. In Ovid’s version of the tale, Erysichthon cuts down every tree in the sacred grove of Ceres, and the wood nymphs who live there demand revenge. On hearing about this, Ceres bids Hunger to visit Erysichthon and inflict his body with everlasting hunger: a hunger so severe that the more he eats the hungrier he will get. Nothing can satiate thishunger, despite Erysichthon ultimately selling all his worldly goods to buy food to consume. In desperation, he finally sells his daughter, Mestra, who discovers at this point a talent for shapeshifting, a skill that Erysichthon determines to use to trick traders who think they are buying a slave to give him money. But still the hunger won’t go away. If you take this story to its logical conclusion, there is only one possible ending, which is indeed what happens: Erysichthon’s hungeris such that the only relief is for him to consume himself, until nothing is left.This melodrama sets three scenes from the story to texts written by the poet John McAuliffe. It was written for a project funded by the University of Manchester, in association with Creative Manchester, and produced by Manchester Opera Project

    Erysichthon's Forest:for soprano, bass, cello and piano

    Get PDF
    Programme Note:The story of Erysichthon pulls no punches. In Ovid’s version of the tale, Erysichthon cuts down every tree in the sacred grove of Ceres, and the wood nymphs who live there demand revenge. On hearing about this, Ceres bids Hunger to visit Erysichthon and inflict his body with everlasting hunger: a hunger so severe that the more he eats the hungrier he will get. Nothing can satiate thishunger, despite Erysichthon ultimately selling all his worldly goods to buy food to consume. In desperation, he finally sells his daughter, Mestra, who discovers at this point a talent for shapeshifting, a skill that Erysichthon determines to use to trick traders who think they are buying a slave to give him money. But still the hunger won’t go away. If you take this story to its logical conclusion, there is only one possible ending, which is indeed what happens: Erysichthon’s hungeris such that the only relief is for him to consume himself, until nothing is left.This melodrama sets three scenes from the story to texts written by the poet John McAuliffe. It was written for a project funded by the University of Manchester, in association with Creative Manchester, and produced by Manchester Opera Project

    Effects of cropping systems upon the three-dimensional architecture of soil systems are modulated by texture

    Get PDF
    Soil delivers fundamental ecosystem functions via interactions between physical and biological processes mediated by soil structure. The structure of soil is also dynamic and modified by natural factors and management intervention. The aim of this study was to investigate the effects of different cropping systems on soil structure at contrasting spatial scales. Three systems were studied in replicated plot field experiments involving varying degrees of plant-derived inputs to the soil, viz. perennial (grassland), annual (arable), and no-plant control (bare fallow), associated with two contrasting soil textures (clayey and sandy). We hypothesized the presence of plants results in a greater range (diversity) of pore sizes and that perennial cropping systems invoke greater structural heterogeneity. Accordingly, the nature of the pore systems was visualised and quantified in 3D by X-ray Computed Tomography at the mm and μm scale. Plants did not affect the porosity of clay soil at the mm scale, but at the μm scale, annual and perennial plant cover resulted in significantly increased porosity, a wider range of pore sizes and greater connectivity compared to bare fallow soil. However, the opposite occurred in the sandy soil, where plants decreased the porosity and pore connectivity at the mm scale but had no significant structural effect at the μm scale. These data reveal profound effects of different agricultural management systems upon soil structural modification, which are strongly modulated by the extent of plant presence and also contingent on the inherent texture of the soil

    Whey protein effects on energy balance link the intestinal mechanisms of energy absorption with adiposity and hypothalamic neuropeptide gene expression

    Get PDF
    peer-reviewedWe tested the hypothesis that dietary whey protein isolate (WPI) affects the intestinal mechanisms related to energy absorption and that the resulting energy deficit is compensated by changes in energy balance to support growth. C57BL/6 mice were provided a diet enriched with WPI with varied sucrose content, and the impact on energy balance-related parameters was investigated. As part of a high-sucrose diet, WPI reduced the hypothalamic expression of pro-opiomelanocortin gene expression and increased energy intake. The energy expenditure was unaffected, but epididymal weight was reduced, indicating an energy loss. Notably, there was a reduction in the ileum gene expression for amino acid transporter SLC6a19, glucose transporter 2, and fatty acid transporter 4. The composition of the gut microbiota also changed, where Firmicutes were reduced. The above changes indicated reduced energy absorption through the intestine. We propose that this mobilized energy in the adipose tissue and caused hypothalamic changes that increased energy intake, acting to counteract the energy deficit arising in the intestine. Lowering the sucrose content in the WPI diet increased energy expenditure. This further reduced epididymal weight and plasma leptin, whereupon hypothalamic ghrelin gene expression and the intestinal weight were both increased. These data suggest that when the intestine-adipose-hypothalamic pathway is subjected to an additional energy loss (now in the adipose tissue), compensatory changes attempt to assimilate more energy. Notably, WPI and sucrose content interact to enable the component mechanisms of this pathway
    corecore