19,171 research outputs found

    Pituitary-adrenal axis in Prader Willi syndrome

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    Purpose: Prader Willi syndrome (PWS) is a rare genetic condition that has concurrent endocrinological insufficiencies. The presence of growth hormone deficiency has been well documented, but adrenal insufficiency (AI) is not widely reported. A review was conducted to investigate its prevalence and relevance in PWS in both adults and children. Methodology: A literature review was performed with the search terms “Prader-Willi syndrome” and “adrenal insufficiency”. Results: The review found studies disagree on the prevalence and method of investigation of AI in PWS. Case studies demonstrate that patients with PWS are at risk of premature death, often secondary to respiratory infections. The possibility that this may be the result of the inability to mount an effective cortisol response has been studied, with some evidence confirming AI in PWS patients. Most reports agreed AI is present in PWS, however, Farholt et al. showed no HPA axis dysfunction in adults, suggesting that perhaps it is rare in adults, and children should be the focus of further studies. Conclusion: AI is present in some patients with PWS. Further research is required to ensure optimal treatment can be implemented and to prevent premature deaths related to adrenal insufficiency. Clinicians should have a low threshold for testing the adrenal axis and considering treatment for adrenal insufficiency in PWS patients

    Clustering of spectra and fractals of regular graphs

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    We exhibit a characteristic structure of the class of all regular graphs of degree d that stems from the spectra of their adjacency matrices. The structure has a fractal threadlike appearance. Points with coordinates given by the mean and variance of the exponentials of graph eigenvalues cluster around a line segment that we call a filar. Zooming-in reveals that this cluster splits into smaller segments (filars) labeled by the number of triangles in graphs. Further zooming-in shows that the smaller filars split into subfilars labelled by the number of quadrangles in graphs, etc. We call this fractal structure, discovered in a numerical experiment, a multifilar structure. We also provide a mathematical explanation of this phenomenon based on the Ihara-Selberg trace formula, and compute the coordinates and slopes of all filars in terms of Bessel functions of the first kind.Comment: 10 pages, 5 figure

    Relativistic general-order coupled-cluster method for high-precision calculations: Application to Al+ atomic clock

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    We report the implementation of a general-order relativistic coupled-cluster method for performing high-precision calculations of atomic and molecular properties. As a first application, the static dipole polarizabilities of the ground and first excited states of Al+ have been determined to precisely estimate the uncertainty associated with the BBR shift of its clock frequency measurement. The obtained relative BBR shift is -3.66+-0.44 for the 3s^2 ^1S_0^0 --> 3s3p ^3P_0^0 transition in Al+ in contrast to the value obtained in the latest clock frequency measurement, -9+-3 [Phys. Rev. Lett. 104, 070802 (2010)]. The method developed in the present work can be employed to study a variety of subtle effects such as fundamental symmetry violations in atoms.Comment: 4 pages, 3 tables, submitte

    Genomic and non-genomic effects of androgens in the cardiovascular system: clinical implications

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    The principle steroidal androgens are testosterone and its metabolite 5α-dihydrotestosterone (DHT), which is converted from testosterone by the enzyme 5α-reductase. Through the classic pathway with androgens crossing the plasma membrane and binding to the androgen receptor (AR) or via mechanisms independent of the ligand-dependent transactivation function of nuclear receptors, testosterone induces genomic and non-genomic effects respectively. AR is widely distributed in several tissues, including vascular endothelial and smooth muscle cells. Androgens are essential for many developmental and physiological processes, especially in male reproductive tissues. It is now clear that androgens have multiple actions besides sex differentiation and sexual maturation and that many physiological systems are influenced by androgens, including regulation of cardiovascular function [nitric oxide (NO) release, Ca2+ mobilization, vascular apoptosis, hypertrophy, calcification, senescence and reactive oxygen species (ROS) generation]. This review focuses on evidence indicating that interplay between genomic and non-genomic actions of testosterone may influence cardiovascular function

    A simple interpretation of quantum mirages

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    In an interesting new experiment the electronic structure of a magnetic atom adsorbed on the surface of Cu(111), observed by STM, was projected into a remote location on the same surface. The purpose of the present paper is to interpret this experiment with a model Hamiltonian, using ellipses of the size of the experimental ones, containing about 2300 atoms. The charge distribution for the different wavefunctions is analyzed, in particular, for those with energy close to the Fermi energy of copper Ef. Some of them show two symmetric maxima located on the principal axis of the ellipse but not necessarily at the foci. If a Co atom is adsorbed at the site where the wavefunction with energy EFE_F has a maximum and the interaction is small, the main effect of the adsorbed atom will be to split this particular wavefunction in two. The total charge density will remain the same but the local density of states will present a dip at Ef at any site where the charge density is large enough. We relate the presence of this dip to the observation of quantum mirages. Our interpretation suggests that other sites, apart from the foci of the ellipses, can be used for projecting atomic images and also indicates the conditions for other non magnetic adsorbates to produce mirages.Comment: 3 pages, 3 Fig

    Higher physical fitness levels are associated with less language decline in healthy ageing

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    Healthy ageing is associated with decline in cognitive abilities such as language. Aerobic fitness has been shown to ameliorate decline in some cognitive domains, but the potential benefits for language have not been examined. In a cross-sectional sample, we investigated the relationship between aerobic fitness and tip-of-the-tongue states. These are among the most frequent cognitive failures in healthy older adults and occur when a speaker knows a word but is unable to produce it. We found that healthy older adults indeed experience more tip-of-the-tongue states than young adults. Importantly, higher aerobic fitness levels decrease the probability of experiencing tip-of-the-tongue states in healthy older adults. Fitness-related differences in word finding abilities are observed over and above effects of age. This is the first demonstration of a link between aerobic fitness and language functioning in healthy older adults

    Eliminating the d=5 proton decay operators from SUSY GUTs

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    A general analysis is made of the question whether the d=5 proton decay operators coming from exchange of colored Higgsinos can be completely eliminated in a natural way in supersymmetric grand unified models. It is shown that they can indeed be in SO(10) while at the same time naturally solving the doublet-triplet splitting problem, having only two light Higgs doublets, and using no more than a single adjoint Higgs field. Accomplishing all of this requires that the vacuum expectation value of the adjoint Higgs field be proportional to the generator I_{3R} rather than to B-L, as is usually assumed. It is shown that such models can give realistic quark and lepton masses. We also point out a new mechanism for solving the \mu problem in the context of SO(10) SUSY GUTs.Comment: 24 pages in LaTeX, with 3 figure

    Deficiency in clonogenic endometrial mesenchymal stem cells in obese women with reproductive failure – a pilot study

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    The mechanisms of obesity associated reproductive complications remain poorly understood. Endometrial mesenchymal stem-cells are critical for cyclic renewal and uterine function. Recently, W5C5+ cells, with high clonogenicity, capable of producing endometrial stroma in vivo, have been described. We sought to investigate the abundance and cloning efficiency of W5C5+ and W5C5− endometrial cells in relation to Body Mass Index, age and reproductive outcome. Design W5C5+ and W5C5− cells were purified from mid-luteal endometrial biopsies (n = 54) by magnetic bead separation and subjected to in vitro colony-forming assays. Results First trimester pregnancy losses were significantly higher in obese subjects (n = 12) compared to overweight (n = 20) and subjects with normal Body Mass Index (n = 22) (P0.05). Conclusions Our observations suggest that the regenerative capacity and plasticity of the endometrium of obese women is suboptimal, which in turn may account for the increased risk of reproductive complications associated with obesity
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