12 research outputs found

    Simple non-mydriatic retinal photography is feasible and demonstrates retinal microvascular dilation in Chronic Obstructive Pulmonary Disease (COPD).

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    BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is associated with an increased risk of myocardial infarction and stroke but it remains unclear how to identify microvascular changes in this population. OBJECTIVES: We hypothesized that simple non-mydriatic retinal photography is feasible and can be used to assess microvascular damage in COPD. METHODS: Novel Vascular Manifestations of COPD was a prospective study comparing smokers with and without COPD, matched for age. Non-mydriatic, retinal fundus photographs were assessed using semi-automated software. RESULTS: Retinal images from 24 COPD and 22 control participants were compared. Cases were of similar age to controls (65.2 vs. 63.1 years, p = 0.38), had significantly lower Forced Expiratory Volume in one second (FEV1) (53.4 vs 100.1% predicted; p < 0.001) and smoked more than controls (41.7 vs. 29.6 pack years; p = 0.04). COPD participants had wider mean arteriolar (155.6 ±15 uM vs. controls [142.2 ± 12 uM]; p = 0.002) and venular diameters (216.8 ±20.7 uM vs. [201.3± 19.1 uM]; p = 0.012). Differences in retinal vessel caliber were independent of confounders, odds ratios (OR) = 1.08 (95% confidence intervals [CI] = 1.02, 1.13; p = 0.007) and OR = 1.05 (CI = 1.01, 1.09; p = 0.011) per uM increase in arteriolar and venular diameter respectively. FEV1 remained significantly associated with retinal vessel dilatation r = -0.39 (p = 0.02). CONCLUSIONS: Non-mydriatic retinal imaging is easily facilitated. We found significant arteriole and venous dilation in COPD compared to age-matched smokers without COPD associated with lung function independent of standard cardiovascular risk factors. Retinal microvascular changes are known to be strongly associated with future vascular events and retinal photography offers potential to identify this risk. TRIAL REGISTRATION: clinicaltrials.gov NCT02060292

    Macro-level Modeling of the Response of C. elegans Reproduction to Chronic Heat Stress

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    A major goal of systems biology is to understand how organism-level behavior arises from a myriad of molecular interactions. Often this involves complex sets of rules describing interactions among a large number of components. As an alternative, we have developed a simple, macro-level model to describe how chronic temperature stress affects reproduction in C. elegans. Our approach uses fundamental engineering principles, together with a limited set of experimentally derived facts, and provides quantitatively accurate predictions of performance under a range of physiologically relevant conditions. We generated detailed time-resolved experimental data to evaluate the ability of our model to describe the dynamics of C. elegans reproduction. We find considerable heterogeneity in responses of individual animals to heat stress, which can be understood as modulation of a few processes and may represent a strategy for coping with the ever-changing environment. Our experimental results and model provide quantitative insight into the breakdown of a robust biological system under stress and suggest, surprisingly, that the behavior of complex biological systems may be determined by a small number of key components

    Erosion of Traditional Marine Management Systems in the Face of Disturbances in the Nicobar Archipelago

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    11 páginas, 3 tablas, 2 figurasTo sustainably manage naturally scarce resources, island communities often evolve complex mechanisms including customary laws, belief systems, and reciprocity arrangements among others, to prevent overharvest. Their effectiveness depends largely on the extent to which resource users comply with the rules. We examined patterns of compliance with traditional marine management in the Nicobar Archipelago, India, before, and six years after, the 2004 tsunami. We used interview-based surveys to document marine harvest regulations, and changes in compliance patterns. Our results indicate that pre-tsunami, complex harvest rules existed, including spatio-temporal closures, gear restrictions and species bans; many reefs were subject to multiple, overlapping restrictions. Post-tsunami, compliance weakened considerably; younger individuals (19–35 years) and individuals receiving tsunami aid (boats, gear, etc.) were the most likely non-compliers. Around 84 % of interviewees attributed declining compliance directly to post-tsunami changes in resource availability and a perceived decline in traditional authority. Changes in resource availability can interact strongly with institutional decline, eroding the resilience of traditional management.Peer reviewe
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