Influence of anthropometric parameters and biochemical markers of bone metabolism on quantitative ultrasound of bone in the institutionalized elderly

The assessment of bone quality by quantitative ultrasound (QUS), a transportable and relatively cheap method, shows some correlations with bone mineral density (BMD) as measured by dual-energy X-ray absorptiometry (DXA) and with fracture risk. To examine its correlation with bone metabolism in a population of institutionalized elderly people known to be at high risk for vitamin D deficiency and secondary hyperparathyroidism, QUS of the calcaneus and biochemical parameters were measured in 264 women aged 85±7 (SD) years and in 103 men aged 81±8 years living in 19 nursing homes. Vitamin D deficiency was frequent in this population: 41.9% of the women and 31.4% of the men had a serum 25-hydroxyvitamin (25OHD) level below the 2.5th percentile level of 3276 normal Swiss adults (6.2 µg/l or 15.5 mmol/l). Hyperparathyroidism was less frequent: serum parathyroid hormone (PTH) levels were above the 97.5th percentile level of normal adults (70 pg/l) in 18.9% of women and 9.8% of men. In women, QUS data correlated significantly with age (r=−0.297), body mass index (BMI) (r=0.403), calcium (r=0.220), PTH (r=−0.296), 25OHD (r=0.298) and alkaline phosphatase (AP) (r=−0.170) for broadband ultrasound attenuation (BUA), and with age (r=−0.195), BMI (r=0.208), PTH (r=−0.174), 25OHD (r=0.140) and AP (r=−0.130) for speed of sound (SOS). In men, ultrasound data correlated with BMI (r=0.326), calcium (r=0.199), 25OHD (r=0.258) and AP (r=−0.311) for BUA, and with AP (r=−0.196) for SOS. In women, but not in men because of their smaller number, a multivariate analysis was performed to examine relationships between age, BMI, biochemical markers and QUS. Age, BMI, PTH and phosphate explained 30% of the variance of BUA and 10% for SOS. In conclusion, QUS of bone evaluates characteristics of bone that are influenced, at least partially, by age, BMI and the secondary hyperparathyroidism due to vitamin D deficienc

Postgraduate Symposium Positive influence of nutritional alkalinity on bone health: Conference on ‘Over- and undernutrition: challenges and approaches'

There is growing evidence that consumption of a Western diet is a risk factor for osteoporosis through excess acid supply, while fruits and vegetables balance the excess acidity, mostly by providing K-rich bicarbonate-rich foods. Western diets consumed by adults generate approximately 50-100 mEq acid/d; therefore, healthy adults consuming such a diet are at risk of chronic low-grade metabolic acidosis, which worsens with age as a result of declining kidney function. Bone buffers the excess acid by delivering cations and it is considered that with time an overstimulation of this process will lead to the dissolution of the bone mineral content and hence to reduced bone mass. Intakes of K, Mg and fruit and vegetables have been associated with a higher alkaline status and a subsequent beneficial effect on bone health. In healthy male volunteers an acid-forming diet increases urinary Ca excretion by 74% and urinary C-terminal telopeptide of type I collagen (C-telopeptide) excretion by 19% when compared with an alkali (base-forming) diet. Cross-sectional studies have shown that there is a correlation between the nutritional acid load and bone health measured by bone ultrasound or dual-energy X-ray absorptiometry. Few studies have been undertaken in very elderly women (>75 years), whose osteoporosis risk is very pertinent. The EVAluation of Nutrients Intakes and Bone Ultra Sound Study has developed and validated (n 51) an FFQ for use in a very elderly Swiss population (mean age 80·4 (sd 2·99) years), which has shown intakes of key nutrients (energy, fat, carbohydrate, Ca, Mg, vitamin C, D and E) to be low in 401 subjects. A subsequent study to assess net endogenous acid production (NEAP) and bone ultrasound results in 256 women aged ≥75 years has shown that lower NEAP (P=0·023) and higher K intake (P=0·033) are correlated with higher bone ultrasound results. High acid load may be an important additional risk factor that may be particularly relevant in very elderly patients with an already-high fracture risk. The latter study adds to knowledge by confirming a positive link between dietary alkalinity and bone health indices in the very elderly. In a further study to complement these findings it has also been shown in a group of thirty young women that in Ca sufficiency an acid Ca-rich water has no effect on bone resorption, while an alkaline bicarbonate-rich water leads to a decrease in both serum parathyroid hormone and serum C-telopeptide. Further investigations need to be undertaken to study whether these positive effects on bone loss are maintained over long-term treatment. Mineral-water consumption could be an easy and inexpensive way of helping to prevent osteoporosis and could be of major interest for long-term prevention of bone los

Réalisation d'un dispositif expérimental pour l'étude des réactions de captures radiatives induites sur le lithium

Le dispositif décrit consiste en un évaporateur de lithium et un « vobulateur de position de cible ». L'évaporateur nous permet de préparer in situ des cibles exemptes de contaminations. Le « vobulateur » fait décrire à la cible une courbe de Lissajous par rapport au faisceau afin d'éviter la surchauffe de la cible

Combining clinical factors and quantitative ultrasound improves the detection of women both at low and high risk for hip fracture

Summary: We hypothesized that combining clinical risk factors (CRF) with the heel stiffness index (SI) measured via quantitative ultrasound (QUS) would improve the detection of women both at low and high risk for hip fracture. Categorizing women by risk score improved the specificity of detection to 42.4%, versus 33.8% using CRF alone and 38.4% using the SI alone. This combined CRF-SI score could be used wherever and whenever DXA is not readily accessible. Introduction and hypothesis: Several strategies have been proposed to identify women at high risk for osteoporosis-related fractures; we wanted to investigate whether combining clinical risk factors (CRF) and heel QUS parameters could provide a more accurate tool to identify women at both low and high risk for hip fracture than either CRF or QUS alone. Methods: We pooled two Caucasian cohorts, EPIDOS and SEMOF, into a large database named "EPISEM”, in which 12,064 women, 70 to 100years old, were analyzed. Amongst all the CRF available in EPISEM, we used only the ones which were statistically significant in a Cox multivariate model. Then, we constructed a risk score, by combining the QUS-derived heel stiffness index (SI) and the following seven CRF: patient age, body mass index (BMI), fracture history, fall history, diabetes history, chair-test results, and past estrogen treatment. Results: Using the composite SI-CRF score, 42% of the women who did not report a hip fracture were found to be at low risk at baseline, and 57% of those who subsequently sustained a fracture were at high risk. Using the SI alone, corresponding percentages were 38% and 52%; using CRF alone, 34% and 53%. The number of subjects in the intermediate group was reduced from 5,400 (including 112 hip fractures) and 5,032 (including 111 hip fractures) to 4549 (including 100 including fractures) for the CRF and QUS alone versus the combination score. Conclusions: Combining clinical risk factors to heel bone ultrasound appears to correctly identify more women at low risk for hip fracture than either the stiffness index or the CRF alone; it improves the detection of women both at low and high ris

Spectra of heavy-light and heavy-heavy mesons containing charm quarks, including higher spin states for Nf=2+1N_f=2+ 1

We study the spectra of heavy-light and heavy-heavy mesons containing charm quarks, including higher spin states. We use two sets of $N_f = 2 + 1$ gauge configurations, one set from QCDSF using the SLiNC action, and the other configurations from the Budapest-Marseille-Wuppertal collaboration, using the HEX smeared clover action. To extract information about the excited states, we choose a suitable basis of operators to implement the variational method.Comment: 7 pages, 5 figures, Talk presented at the XXIX International Symposium on Lattice Field Theory, Lattice2011, July 11-16, 2011, The Village at Squaw Valley, California, US

MitoNeoD:a mitochondria-targeted superoxide probe

Mitochondrial superoxide (O2⋅−) underlies much oxidative damage and redox signaling. Fluorescent probes can detect O2⋅−, but are of limited applicability in vivo, while in cells their usefulness is constrained by side reactions and DNA intercalation. To overcome these limitations, we developed a dual-purpose mitochondrial O2⋅− probe, MitoNeoD, which can assess O2⋅− changes in vivo by mass spectrometry and in vitro by fluorescence. MitoNeoD comprises a O2⋅−-sensitive reduced phenanthridinium moiety modified to prevent DNA intercalation, as well as a carbon-deuterium bond to enhance its selectivity for O2⋅− over non-specific oxidation, and a triphenylphosphonium lipophilic cation moiety leading to the rapid accumulation within mitochondria. We demonstrated that MitoNeoD was a versatile and robust probe to assess changes in mitochondrial O2⋅− from isolated mitochondria to animal models, thus offering a way to examine the many roles of mitochondrial O2⋅−production in health and disease

An effective chiral Hadron-Quark Equation of State

We construct an effective model for the QCD equation of state, taking into account chiral symmetry restoration as well as the deconfinement phase transition. The correct asymptotic degrees of freedom at the high and low temperature limits are included (quarks $\leftrightarrow$ hadrons). The model shows a rapid crossover for both order parameters, as is expected from lattice calculations. We then compare the thermodynamic properties of the model at $\mu_B=0$ which turn out to be in qualitative agreement with lattice data, while apparent quantitative differences can be attributed to hadronic contributions and excluded volume corrections. Furthermore we discuss the effects of a repulsive vector type quark interaction at finite baryon number densities on the resulting phase diagram of the model. Our current model is able to reproduce a first-order liquid gas phase transition as expected, but does not show any signs of a first order deconfinement or chiral phase transition. Both transitions rather appear as a very wide crossover in which heavily medium modified hadron coexist with free quarks.Comment: 19 pages, 13 figures Version accepted by J. Phys.

Correlations and fluctuations from lattice QCD

We present the new results of the Wuppertal-Budapest lattice QCD collaboration on flavor diagonal and non-diagonal quark number susceptibilities with 2+1 staggered quark flavors, in a temperature regime between 120 and 400 MeV. A Symanzik improved gauge and a stout-link improved staggered fermion action is utilized; the light and strange quark masses are set to their physical values. Lattices with $N_t=6, 8, 10, 12$ are used. We perform a continuum extrapolation of those observables for which the scaling regime is reached, and discretization errors are under control.Comment: 4 pages, 3 figures, Proceedings for Quark Matter 201

Is there still any Tc mystery in lattice QCD? Results with physical masses in the continuum limit III

The present paper concludes our investigations on the QCD cross-over transition temperatures with 2+1 staggered flavours and one-link stout improvement. We extend our previous two studies [Phys. Lett. B643 (2006) 46, JHEP 0906:088 (2009)] by choosing even finer lattices ($N_t$=16) and we work again with physical quark masses. The new results on this broad cross-over are in complete agreement with our earlier ones. We compare our findings with the published results of the hotQCD collaboration. All these results are confronted with the predictions of the Hadron Resonance Gas model and Chiral Perturbation Theory for temperatures below the transition region. Our results can be reproduced by using the physical spectrum in these analytic calculations. The findings of the hotQCD collaboration can be recovered by using a distorted spectrum which takes into account lattice discretization artifacts and heavier than physical quark masses. This analysis provides a simple explanation for the observed discrepancy in the transition temperatures between our and the hotQCD collaborations.Comment: 25 pages, 10 figures and 3 table