Regulation of peripheral vascular tone in patients with heart failure:Contribution of angiotensin II

Objective—To determine directly the contribution of angiotensin II to basal and sympathetically stimulated peripheral arteriolar tone in patients with heart failure.
Design—Parallel group comparison.
Subjects—Nine patients with New York Heart Association grade II-IV chronic heart failure, and age and sex matched controls.
Interventions—Forearm plethysmography, lower body negative pressure, local intra-arterial administration of losartan, angiotensin II, and noradrenaline, and estimation of plasma hormone concentrations.
Main outcome measures—Forearm blood flow responses, plasma hormone concentrations.
Results—Baseline blood pressure, heart rate, and forearm blood flow did not differ between patients and controls. In comparison with the non-infused forearm, losartan did not affect basal forearm blood flow (95% confidence interval −5.5% to +7.3%) or sympathetically stimulated vasoconstriction in controls. However, the mean (SEM) blood flow in patients increased by 13(5)% and 26(7)% in response to 30 and 90 µg/min of losartan respectively (p < 0.001). Lower body negative pressure caused a reduction in forearm blood flow of 20(5)% in controls (p = 0.008) and 13(5)% (p = 0.08) in patients (p = 0.007, controls v patients). Blood flow at 90 µg/min of losartan correlated with plasma angiotensin II concentration (r = 0.77; p = 0.03). Responses to angiotensin II and noradrenaline did not differ between patients and controls.
Conclusions—Losartan causes acute local peripheral arteriolar vasodilatation in patients with heart failure but not in healthy control subjects. Endogenous angiotensin II directly contributes to basal peripheral arteriolar tone in patients with heart failure but does not augment sympathetically stimulated peripheral vascular tone.

 Keywords: angiotensin II;  heart failure;  peripheral vascular tone;  sympathetic nervous syste

Septation and valvar formation in the outflow tract of the embryonic chick heart

There is no agreement, in the chick, about the number of the endocardial cushions within the outflow tract or their pattern of fusion. Also, little is known of their relative contributions to the formation of the arterial valves, the subpulmonary infundibulum, and the arterial valvar sinuses. As the chick heart is an important model for studying septation of the outflow tract, our objective was to clarify these issues. Normal septation of the outflow tract was studied in a series of 60 staged chick hearts, by using stained whole-mount preparations, serial sections, and scanning electron microscopy. A further six hearts were examined subsequent to hatching. At stage 21, two pairs of endocardial cushions were seen within the developing outflow tract. One pair was positioned proximally, with the other pair located distally. By stage 25, a third distal cushion had developed. This finding was before the appearance of two further, intercalated, endocardial cushions, also distally positioned, which were first seen at stage 29. In the arterial segment, the aortic and pulmonary channels were separated by the structure known as the aortopulmonary septum. The dorsal limb of this septum penetrated the distal dorsal cushion, whereas the ventral limb grew between the remaining two distal cushions, both of which were positioned ventrally. The three distal endocardial cushions, and the two intercalated endocardial cushions, contributed to the formation of the leaflets and sinuses of the arterial roots. The two proximal cushions gave rise to a transient septum, which later became transformed into the muscular component of the subpulmonary infundibulum. Concomitant with these changes, an extracardiac tissue plane was formed which separated this newly formed structure from the sinuses of the aortic root. Our study confirms that three endocardial cushions are positioned distally, and two proximally, within the developing outflow tract of the chick. The pattern of the distal cushions, and the position of the ventral limb of the aortopulmonary septum, differs significantly from that seen in mammals. Anat Rec 264:273-283, 2001. (C) 2001 Wiley-Liss, Inc.Animal science

Analysis of Strong-Coupling Parameters for Superfluid 3He

Superfluid $^{3}$He experiments show strong deviation from the weak-coupling limit of the Ginzburg-Landau theory, and this discrepancy grows with increasing pressure. Strong-coupling contributions to the quasiparticle interactions are known to account for this effect and they are manifest in the five $\beta$-coefficients of the fourth order Ginzburg-Landau free energy terms. The Ginzburg-Landau free energy also has a coefficient $g_{z}$ to include magnetic field coupling to the order parameter. From NMR susceptibility experiments, we find the deviation of $g_{z}$ from its weak-coupling value to be negligible at all pressures. New results for the pressure dependence of four different combinations of $\beta$-coefficients, $\beta$_{345}, $\beta$_{12}, $\beta$_{245}, and $\beta$_{5} are calculated and comparison is made with theory.Comment: 6 pages, 2 figures, 1 table. Manuscript prepared for QFS200

Delivering a positive outcome for STEM students– how TEF will that be?

As universities embrace widening participation, we are starting to observe sector-wide awarding gaps, and with student continuation within Engineering & Technology as one of the lowest in Higher Education (HE), it would appear that our current curricular is not always effective for the attainment of a diverse student body. This paper highlights the external driving forces related to the widening participation within HE and how this is influencing STEM education. It describes the current practice that has positively influenced diversity awareness and how HE can use the student voice more effectively to drive forward both institutional change and programme curricula design to ensure positive outcomes for all students

All at Once: Transient Pulsations, Spin-down, and a Glitch from the Pulsating Ultraluminous X-Ray Source M82 X-2

The first pulsating ultraluminous X-ray source (PULX) to be identified is M82 X-2. After the discovery in 2014, NuSTAR observed the M82 field 15 times throughout 2015 and 2016. In this paper, we report the results of pulsation searches in all of these data sets and find only one new detection. This new detection allows us to refine the orbital period of the source and measure an average spin-down rate between 2014 and 2016 of ∼-6 × 10-11 Hz s-1, which is in contrast to the strong spin-up seen during the 2014 observations, representing the first detection of spin-down in a PULX system. Thanks to the improved orbital solution allowed by this new detection, we are also able to detect pulsations in additional segments of the original 2014 data set. We find a glitch superimposed on the very strong and variable spin-up already reported - the first positive glitch identified in a PULX system. We discuss the new findings in the context of current leading models for PULXs

What the public think about participation in medical research during an influenza pandemic: an international cross-sectional survey

Objectives The public and patients are primary contributors and beneficiaries of pandemic-relevant clinical research. However, their views on research participation during a pandemic have not been systematically studied. We aimed to understand public views regarding participation in clinical research during a hypothetical influenza pandemic. Study design This is an international cross-sectional survey. Methods We surveyed the views of nationally representative samples of people in Belgium, Poland, Spain, Ireland, the United Kingdom, Canada, Australia and New Zealand, using a scenario-based instrument during the 2017 regional influenza season. Descriptive and regression analyses were conducted. Results Of the 6804 respondents, 5572 (81.8%) thought pandemic-relevant research was important, and 5089 (74.8%) thought ‘special rules’ should be applied to make this research feasible. The respondents indicated willingness to take part in lower risk (4715, 69.3%) and higher risk (3585, 52.7%) primary care and lower risk (4780, 70.3%) and higher risk (4113, 60.4%) intensive care unit (ICU) study scenarios. For primary care studies, most (3972, 58.4%) participants preferred standard enrolment procedures such as prospective written informed consent, but 2327 (34.2%) thought simplified procedures would be acceptable. For ICU studies, 2800 (41.2%) preferred deferred consent, and 2623 (38.6%) preferred prospective third-party consent. Greater knowledge about pandemics, trust in a health professional, trust in the government, therapeutic misconception and having had ICU experience as a patient or carer predicted increased willingness to participate in pandemic-relevant research. Conclusions Our study indicates current public support for pandemic-relevant clinical research. Tailored information and initiatives to advance research literacy and maintain trust are required to support pandemic-relevant research participation and engagement

Studying Millisecond Pulsars in X-rays

Millisecond pulsars represent an evolutionarily distinct group among rotation-powered pulsars. Outside the radio band, the soft X-ray range ($\sim 0.1$--10 keV) is most suitable for studying radiative mechanisms operating in these fascinating objects. X-ray observations revealed diverse properties of emission from millisecond pulsars. For the most of them, the bulk of radiation is of a thermal origin, emitted from small spots (polar caps) on the neutron star surface heated by relativistic particles produced in pulsar acceleration zones. On the other hand, a few other very fast rotating pulsars exhibit almost pure nonthermal emission generated, most probably, in pulsar magnetospheres. There are also examples of nonthermal emission detected from X-ray nebulae powered by millisecond pulsars, as well as from pulsar winds shocked in binary systems with millisecond pulsars as companions. These and other most important results obtained from X-ray observations of millisecond pulsars are reviewed in this paper, as well as results from the search for millisecond pulsations in X-ray flux of the radio-quite neutron star RX J1856.5-3754