FDG uptake and walking ability

Includes bibliographical references.Motor impairments of the upper and lower extremities are common symptoms of multiple sclerosis (MS). While some peripheral effects like muscle weakness and loss of balance have been shown to influence these symptoms, central nervous system activity has not been fully elucidated. The purpose of this study was to determine if alterations in glucose uptake were associated with motor impairments in patients with multiple sclerosis. Eight patients with multiple sclerosis (4 men) and 8 sex matched healthy controls performed 15 minutes of treadmill walking at a self-selected pace, during which ≈ 322 MBq of the positron emission tomography glucose analogue [18F]-Fluorodeoxyglucose was injected. Immediately after the cessation of walking, participants underwent positron emission tomography imaging. Patients with MS had lower FDG uptake in ≈ 40% of the brain compared to the healthy controls (pFWE-corr > 0.001, qFDR-corr -0.75, P < 0.032). Within patients with MS only 3 of the 15 regions showed significant correlations: insula (r = -0.74, P = 0.036), hippocampus (r = -0.72, P = 0.045), and calcarine sulcus (r = -0.77, P = 0.026). This data suggests that walking impairments in patients with MS may be due to network wide alterations in glucose metabolism. Understanding how brain activity and metabolism are altered in patients with MS may allow for better measures of disability and disease status within this clinical population.Published with support from the Colorado State University Libraries Open Access Research and Scholarship Fund

Different Predictors of Right and Left Ventricular Metabolism in Healthy Middle-Aged Men

Dysfunction of the right ventricle (RV) plays a crucial role in the outcome of various cardiovascular diseases. Previous studies on RV metabolism are sparse although evidence implies it may differ from left ventricular (LV) metabolism. Therefore, the aims of this study were (1) to determine predictors of RV glucose uptake (GU) and free fatty acid uptake (FFAU) and (2) to compare them to predictors of LV metabolism in healthy middle-aged men. Altogether 28 healthy, sedentary, middle-aged (40-55 years) men were studied. Insulin-stimulated GU and fasting FFAU were measured by positron emission tomography and RV and LV structural and functional parameters by cardiac magnetic resonance. Several parameters related to whole-body health were also measured. Predictors of RV and LV metabolism were determined by pairwise correlation analysis, lasso regression models, and variable clustering using heatmap. RVGU was most strongly predicted by age and moderately by RV ejection fraction (EF). The strongest determinants of RVFFAU were exercise capacity (peak oxygen uptake), resting heart rate, LVEF, and whole body insulin stimulated glucose uptake rate. When considering LV metabolism, age and RVEF were associated also with LVGU. In addition, LVGU was strongly, and negatively, influenced by whole-body insulin-stimulated glucose uptake rate. LVFFAU was predicted only by LVEF. This study shows that while RV and LV metabolism have shared characteristics, they also have unique properties. Age of the subject should be taken into account when measuring myocardial glucose utilization. Ejection fraction is related to myocardial metabolism, and even so that RVEF may be more closely related to GU of both ventricles and LVEF to FFAU of both ventricles, a finding supporting the ventricular interdependence. However, only RV fatty acid utilization associates with exercise capacity so that better physical fitness in a relatively sedentary population is related with decreased RV fat metabolism. To conclude, this study highlights the need for further study designed specifically on less known RV as the results on LV metabolism and physiology may not be directly applicable to the RV.</p

Using mutual information to investigate non-linear correlation between AE index, ULF Pc5 wave activity and electron precipitation

In this study, we use mutual information from information theory to investigate non-linear correlation between geomagnetic activity indicated by auroral electrojet (AE) index with both the global ultra low frequency (ULF) Pc5 wave power and medium energy (>= 30 keV) electron precipitation at the central outer radiation belt. To investigate the energy and magnetic local time (MLT) dependence of the non-linearity, we calculate the mutual information and Pearson correlation coefficient separately for three different energy ranges (30-100 keV, 100-300 keV and >= 300 keV) and four different MLT sectors (0-6, 6-12, 12-18, 18-24). We compare results from 2 years 2004 and 2007 representing geomagnetically more active and less active years, respectively. The correlation analysis between the AE index and electron precipitation shows a clear MLT and energy dependence in both active and quiet conditions. In the two lowest energy ranges of the medium energy electrons (30-100 keV and 100-300 keV) both non-linear correlation and Pearson correlation indicate strong dependence with the AE index in the dawn sector. The linear dependence indicated by the Pearson correlation coefficient decreases from dawn to dusk while the change in the non-linear correlation is smaller indicating an increase in the non-linearity from dawn to dusk. The non-linearity between the AE index and electron precipitation is larger at all MLT sectors except MLTs 6-12 during geomagnetically more active year when larger amount of the activity is driven by interplanetary coronal mass ejections (ICMEs) compared to lower activity year with high speed stream (HSS) and stream interaction region (SIR) driven activity. These results indicate that the processes leading to electron precipitation become more non-linear in the dusk and during geomagnetically more active times when the activity is driven by ICMEs. The non-linearity between the AE index and global ULF Pc5 activity is relatively low and seems not to be affected by the difference in the geomagnetic activity during the 2 years studied.Peer reviewe

The effect of nitric oxide synthase inhibition with and without inhibition of prostaglandins on blood flow in different human skeletal muscles

Purpose Animal studies suggest that the inhibition of nitric oxide synthase (NOS) affects blood flow differently in different skeletal muscles according to their muscle fibre type composition (oxidative vs glycolytic). Quadriceps femoris (QF) muscle consists of four different muscle parts: vastus intermedius (VI), rectus femoris (RF), vastus medialis (VM), and vastus lateralis (VL) of which VI is located deep within the muscle group and is generally regarded to consist mostly of oxidative muscle fibres.Methods We studied the effect of NOS inhibition on blood flow in these four different muscles by positron emission tomography in eight young healthy men at rest and during one-leg dynamic exercise, with and without combined blockade with prostaglandins.Results At rest blood flow in the VI (2.6 +/- 1.1 ml/100 g/min) was significantly higher than in VL (1.9 +/- 0.6 ml/100 g/min, p = 0.015) and RF (1.7 +/- 0.6 ml/100 g/min, p = 0.0015), but comparable to VM (2.4 +/- 1.1 ml/100 g/min). NOS inhibition alone or with prostaglandins reduced blood flow by almost 50% (p < 0.001), but decrements were similar in all four muscles (drug x muscle interaction, p = 0.43). During exercise blood flow was also the highest in VI (45.4 +/- 5.5 ml/100 g/min) and higher compared to VL (35.0 +/- 5.5 ml/100 g/min), RF (38.4 +/- 7.4 ml/100 g/min), and VM (36.2 +/- 6.8 ml/100 g/min). NOS inhibition alone did not reduce exercise hyperemia (p = 0.51), but combined NOS and prostaglandin inhibition reduced blood flow during exercise (p = 0.002), similarly in all muscles (drug x muscle interaction, p = 0.99).Conclusion NOS inhibition, with or without prostaglandins inhibition, affects blood flow similarly in different human QF muscles both at rest and during low-to-moderate intensity exercise

Increased B-Type Natriuretic Peptide Concentration Is Associated with Reduced Coronary Vasoreactivity in Patients with Dilated Cardiomyopathy but Not in Healthy Young Subjects

Background/Aims. Natriuretic peptides are associated with the cardiovascular disease risk under a range of different circumstances. However, less is known about whether this association is found also in young healthy subjects. Methods. 9 patients with dilated cardiomyopathy and 26 healthy young subjects were studied. The myocardial blood flow measurements were performed basally and during adenosine infusion using PET. Results. S-proBNP concentrations were significantly higher (2153 ± 1964 versus 28 ± 17 ng/L, P = .000002) and adenosine-stimulated flow lower (1.6 ± 0.8 versus 3.6 ± 1.1 mL·g−1·min−1, P = .00001) in patients with dilated cardiomyopathy when compared to healthy subjects. S-proBNP concentration was inversely associated with adenosine stimulated flow in patients with dilated cardiomyopathy (r = −0.75, P = .019) but not in healthy subjects (r = −0.06, P = .84). Conclusions. Natriuretic peptides are inversely associated with coronary vasoreactivity in patients with dilated cardiomyopathy but not in healthy young subjects. Since reduced coronary vasoreactivity seems to be one of the earliest abnormalities in the development of coronary artery disease, this might indicate that natriuretic peptides are not predictor of cardiovascular disease risk in healthy young subjects

Seven-day ischaemic preconditioning improves muscle efficiency during cycling

Ischaemic preconditioning (IPC) has emerged as a potential non-invasive ergogenic aid to enhance exercise performance. Repeated application of IPC has demonstrated clinical efficacy, therefore our aims were to investigate its effect on endurance cycling performance and muscle efficiency. Twenty participants undertook 7-d repeated bilateral lower limb occlusion (4 x 5-min) of IPC (220 mmHg) or sham (20 mmHg). Prior to and 72-h following the intervention, participants performed submaximal cycling at 70, 80 and 90% of ventilatory threshold (VT) followed by an incremental exercise test. IPC had no effect on VO2max (P = 0.110); however, time to exhaustion increased by ~ 9% and Wmax by ~ 5 % (IPC pre 307 ± 45 to post 323 ± 51 W) relative to sham (P = 0.002). There were no changes in gross efficiency (GE) (P > 0.05); however, delta efficiency (DE) increased by 3.1% following IPC (P = 0.011). Deoxyhaemoglobin (HHb) was reduced following IPC ~ 30% (P = 0.017) with no change in total haemoglobin (tHb). Repeated IPC over 7-d enhanced muscle efficiency and extended cycling performance. The physiological effects of repeated IPC on skeletal muscle efficiency explains the notable improvements in endurance performance

Outer radiation belt and inner magnetospheric response to sheath regions of coronal mass ejections : a statistical analysis

The energetic electron content in the Van Allen radiation belts surrounding the Earth can vary dramatically at several timescales, and these strong electron fluxes present a hazard for spacecraft traversing the belts. The belt response to solar wind driving is, however, largely unpredictable, and the direct response to specific large-scale heliospheric structures has not been considered previously. We investigate the immediate response of electron fluxes in the outer belt that are driven by sheath regions preceding interplanetary coronal mass ejections and the associated wave activity in the inner magnetosphere. We consider the events recorded from 2012 to 2018 in the Van Allen Probes era to utilise the energy- and radial-distance-resolved electron flux observations of the twin spacecraft mission. We perform a statistical study of the events by using the superposed epoch analysis in which the sheaths are superposed separately from the ejecta and resampled to the same average duration. Our results show that the wave power of ultra-low frequency Pc5 and electromagnetic ion cyclotron waves, as measured by a Geostationary Operational Environmental Satellite (GOES), is higher during the sheath than during the ejecta. However, the level of chorus wave power, as measured by the Van Allen Probes, remains approximately the same due to similar substorm activity during the sheath and ejecta. Electron flux enhancements are common at low energies ( 4). It is distinctive that the depletion extends to lower energies at larger distances. We suggest that this L-shell and energy-dependent depletion results from the magnetopause shadowing that dominates the losses at large distances, while the wave-particle interactions dominate closer to the Earth. We also show that non-geoeffective sheaths cause significant changes in the outer belt electron fluxes.Peer reviewe

Contributions to Loss Across the Magnetopause During an Electron Dropout Event

Dropout events are dramatic decreases in radiation belt electron populations that can occur in as little as 30 minutes. Loss to magnetopause due to a combination of magnetopause shadowing and outward radial transport plays a significant role in these events. We examine the dropout of relativistic electron populations during the October 2012 geomagnetic storm using simulated electron phase space density, evaluating the contribution of different processes to losses across the magnetopause. We compare loss contribution from outward transport calculated using a standard empirical radial diffusion model that assumes a dipolar geomagnetic field to an event-specific radial diffusion model evaluated with a non-dipolar geomagnetic field. We additionally evaluate the contribution of Shabansky type 1 particles, which bounce along magnetic field lines with local equatorial maxima, to the loss calculated during this event. We find that the empirical radial diffusion model with a dipolar background field underestimates the contribution of radial diffusion to this dropout event by up to 10% when compared to the event-specific, non-dipolar radial diffusion model. We additionally find that including Shabansky type 1 particles in the initial electron phase space density, that is, allowing some magnetic field lines distorted from the typical single-minima configuration in drift shell construction, increases the calculated loss by an average of 0.75%. This shows that the treatment of the geomagnetic field significantly impacts the calculation of electron losses to the magnetopause during dropout events, with the non-dipolar treatment of radial diffusion being essential to accurately quantify the loss of outer radiation belt populations.Peer reviewe

Exercise training improves biventricular oxidative metabolism and left ventricular efficiency in patients with dilated cardiomyopathy

AbstractObjectivesThe aim of this study was to determine the effect of exercise training on myocardial oxidative metabolism and efficiency in patients with idiopathic dilated cardiomyopathy (DCM) and mild heart failure (HF).BackgroundExercise training is known to improve exercise tolerance and quality of life in patients with chronic HF. However, little is known about how exercise training may influence myocardial energetics.MethodsTwenty clinically stable patients with DCM (New York Heart Association classes I through III) were prospectively separated into a training group (five-month training program; n = 9) and a non-trained control group (n = 11). Oxidative metabolism in both the right and left ventricles (RV and LV) was measured using [11C]acetate and positron emission tomography. Myocardial work power was measured using echocardiography. Myocardial efficiency for forward work was calculated as myocardial work power per mass/LV oxidative metabolism.ResultsSignificant improvements were noted in exercise capacity (Vo2) and ejection fraction in the training group, whereas no changes were observed in the non-trained group. Exercise training reduced both RV and LV oxidative metabolism and elicited a significant increase in LV forward work efficiency, although no significant changes were observed in the non-trained group.ConclusionsExercise training improves exercise tolerance and LV function. This is accompanied by a decrease in biventricular oxidative metabolism and enhanced forward work efficiency. Therefore, exercise training elicits an energetically favorable improvement in myocardial function and exercise tolerance in patients with DCM

Talent Retention and the Development of Digital Skills : A study of the ecosystem-based Digitalisation Academy located in Vaasa, Finland

In 2018, Vaasa-based energy cluster companies and higher education institutions jointly established the Digitalisation Academy. The aim of the Digitalisation Academy, which was created as a joint effort, has been to respond to the talent shortage in the region’s business sector by strengthening the digital skills of Finnish and foreign students studying in Vaasa and supporting their employment in the region’s companies. This publication is the final report of a research and development project to develop the Digitalisation Academy, funded by the Ministry of Economic Affairs and Employment and carried out by the University of Vaasa’s Innolab. The international multidisciplinary group of researchers studied the experiences of the students and the representatives of companies and higher education institutions involved in the project. Based on these observations, the report includes proposals on how the Digitalisation Academy can be developed in the future. The report also describes the previous talent shortage and the ways to commit experts, as well as research on ecosystem cooperation and cooperation between companies and higher education institutions. In view of these, the researchers have issued recommendations on actions to the parties. The report can also be used as a handbook for setting up similar units in other Finnish clusters and as a basis for a discussion on how to support the commitment of highly educated experts to Finland