Herzfrequenzvariabilität in der Postmenopause

Zusammenfassung: Autonomes Nervensystem und Herzfrequenzvariabilität: Sowohl eine Dysregulation des autonomen Nervensystems (ANS) als auch die Menopause sind mit einem erhöhten kardiovaskulären Risiko verbunden. Das kardiale ANS kann anhand der Herzfrequenzvariabilität (HRV) beurteilt und in Frequenzspektren aufgespalten werden, die sich dem Parasympathikus- und/oder Sympathikuseinfluss zuordnen lassen. Einfluss der endokrinen Lebensphasen: Bereits während des Menstruationszyklus zeigt sich eine zyklusabhängige Fluktuation der HRV. Mit dem menopausalen Östrogenabfall ist ein Anstieg des Sympathikotonus mit HRV-Reduktion verbunden, was mit einem erhöhten kardiovaskulären Risiko einhergeht. Das mit menopausalen Hitzewallungen verbundene erhöhte kardiovaskuläre Erkrankungsrisiko ist möglicherweise ebenso auf eine Sympathikusaktivierung zurückzuführen. Therapie: Eine Hormonersatztherapie vermag eventuell eine Wiederherstellung der autonomen Balance herbeizuführe

CENTIMETER COSMO-SKYMED RANGE MEASUREMENTS FOR MONITORING GROUND DISPLACEMENTS

The SAR (Synthetic Aperture Radar) imagery are widely used in order to monitor displacements impacting the Earth surface and infrastructures. The main remote sensing technique to extract sub-centimeter information from SAR imagery is the Differential SAR Interferometry (DInSAR), based on the phase information only. However, it is well known that DInSAR technique may suffer for lack of coherence among the considered stack of images. New Earth observation SAR satellite sensors, as COSMO-SkyMed, TerraSAR-X, and the coming PAZ, can acquire imagery with high amplitude resolutions too, up to few decimeters. Thanks to this feature, and to the on board dual frequency GPS receivers, allowing orbits determination with an accuracy at few centimetres level, the it was proven by different groups that TerraSAR-X imagery offer the capability to achieve, in a global reference frame, 3D positioning accuracies in the decimeter range and even better just exploiting the slant-range measurements coming from the amplitude information, provided proper corrections of all the involved geophysical phenomena are carefully applied. The core of this work is to test this methodology on COSMO-SkyMed data acquired over the Corvara area (Bolzano – Northern Italy), where, currently, a landslide with relevant yearly displacements, up to decimeters, is monitored, using GPS survey and DInSAR technique. The leading idea is to measure the distance between the satellite and a well identifiable natural or artificial Persistent Scatterer (PS), taking in account the signal propagation delays through the troposphere and ionosphere and filtering out the known geophysical effects that induce periodic and secular ground displacements. The preliminary results here presented and discussed indicate that COSMO-SkyMed Himage imagery appear able to guarantee a displacements monitoring with an accuracy of few centimetres using only the amplitude data, provided few (at least one) stable PS's are available around the monitored area, in order to correct residual biases, likely due to orbit errors

Impact of Sleeve Gastrectomy on Weight Loss, Glucose Homeostasis, and Comorbidities in Severely Obese Type 2 Diabetic Subjects

This study was undertaken to assess medium-term effects of laparoscopic sleeve gastrectomy (LSG) on body weight and glucose homeostasis in severely obese type 2 diabetic (T2DM) subjects. Twenty-five obese T2DM subjects (10 M/15 F, age 45 ± 9 years, BMI 48 ± 8 kg/m2, M ± SD) underwent evaluation of anthropometric/clinical parameters and glucose homeostasis before, 3 and 9–15 months after LSG. Mean BMI decreased from 48 ± 8 kg/m2 to 40 ± 9 kg/m2 (P < .001) at 3 months and 34 ± 6 kg/m2 (P < .001) at 9–15 months after surgery. Remission of T2DM (fasting plasma glucose < 126 mg/dL and HbA1c < 6.5% in the absence of hypoglycemic treatment) occurred in all patients but one. There was a remarkable reduction in the percentage of patients requiring antihypertensive and hypolipidemic drugs. Our study shows that LSG is effective in producing a significant and sustained weight loss and improving glucose homeostasis in severely obese T2DM patients

Dietary fat differentially modulate the mRNA expression levels of oxidative mitochondrial genes in skeletal muscle of healthy subjects.

Background and aims: Different types of dietary fats exert differential effects on glucose and lipid metabolism. Our aim was to evaluate the impact of different dietary fats on the expression of skeletal muscle genes regulating mitochondrial replication and function in healthy subjects. Methods and results: Ten healthy subjects (age 29±3 years; BMI 25.0±3kg/m2) received in a random order a test meal with the same energy content but different composition in macronutrients and quality of fat: Mediterranean (MED) meal, SAFA meal (Lipid 66%, saturated 36%) and MUFA meal (Lipid 63%, monounsaturated 37%). At fast and after 180min, a fine needle aspiration was performed from the vastus lateralis for determination of mitochondrial gene expression by quantitative PCR. No difference in glucose and triglyceride response was observed between the three meals, while NEFA levels were significantly higher following fat-rich meals compared to MED meal (p<0.002-0.0001). MED meal was associated with an increased expression, albeit not statistically significant, of some genes regulating both replication and function. Following MUFA meal, a significant increase in the expression of PGC1β (p=0.02) and a reduction in the transcription factor PPARδ (p=0.006) occurred with no change in the expression of COX and GLUT4 genes. In contrast, SAFA meal was associated with a marked reduction in the expression of COX (p<0.001) PFK (p<0.003), LPL (p=0.002) and GLUT4 (p=0.009) genes. Conclusion: Dietary fats differentially modulate gene transcriptional profile since saturated, but not monounsaturated fat, downregulate the expression of genes regulating muscle glucose transport and oxidation

Grape pomace polyphenols improve insulin response to a standard meal in healthy individuals: A pilot study

Dietary polyphenols have beneficial effects on glucose/lipid metabolism in subjects at high risk to develop type 2 diabetes; however, the underlying mechanisms are not clear. We aimed to evaluate: 1) the acute effects of the consumption of a drink rich in polyphenols from red grape pomace (RGPD) on glucose/insulin and triglyceride responses to a standard meal in healthy individuals, and, 2) the relationship between plasma levels of phenolic metabolites and metabolic parameters

Zno thin films growth optimization for piezoelectric application

The piezoelectric response of ZnO thin films in heterostructure-based devices is strictly related to their structure and morphology. We optimize the fabrication of piezoelectric ZnO to reduce its surface roughness, improving the crystalline quality, taking into consideration the role of the metal electrode underneath. The role of thermal treatments, as well as sputtering gas composition, is investigated by means of atomic force microscopy and x-ray diffraction. The results show an optimal reduction in surface roughness and at the same time a good crystalline quality when 75% O2 is introduced in the sputtering gas and deposition is performed between room temperature and 573 K. Subsequent annealing at 773 K further improves the film quality. The introduction of Ti or Pt as bottom electrode maintains a good surface and crystalline quality. By means of piezoelectric force microscope, we prove a piezoelectric response of the film in accordance with the literature, in spite of the low ZnO thickness and the reduced grain size, with a unipolar orientation and homogenous displacement when deposited on Ti electrode

Increased Oxidative Burden Associated with Traffic Component of Ambient Particulate Matter at Roadside and Urban Background Schools Sites in London

As the incidence of respiratory and allergic symptoms has been reported to be increased in children attending schools in close proximity to busy roads, it was hypothesised that PM from roadside schools would display enhanced oxidative potential (OP). Two consecutive one-week air quality monitoring campaigns were conducted at seven school sampling sites, reflecting roadside and urban background in London. Chemical characteristics of size fractionated particulate matter (PM) samples were related to the capacity to drive biological oxidation reactions in a synthetic respiratory tract lining fluid. Contrary to hypothesised contrasts in particulate OP between school site types, no robust size-fractionated differences in OP were identified due high temporal variability in concentrations of PM components over the one-week sampling campaigns. For OP assessed both by ascorbate (OPAA m−3) and glutathione (OPGSH m−3) depletion, the highest OP per cubic metre of air was in the largest size fraction, PM1.9–10.2. However, when expressed per unit mass of particles OPAA µg−1 showed no significant dependence upon particle size, while OPGSH µg−1 had a tendency to increase with increasing particle size, paralleling increased concentrations of Fe, Ba and Cu. The two OP metrics were not significantly correlated with one another, suggesting that the glutathione and ascorbate depletion assays respond to different components of the particles. Ascorbate depletion per unit mass did not show the same dependence as for GSH and it is possible that other trace metals (Zn, Ni, V) or organic components which are enriched in the finer particle fractions, or the greater surface area of smaller particles, counter-balance the redox activity of Fe, Ba and Cu in the coarse particles. Further work with longer-term sampling and a larger suite of analytes is advised in order to better elucidate the determinants of oxidative potential, and to fuller explore the contrasts between site types.\ud \u