Association between one-hour post-load plasma glucose levels and vascular stiffness in essential hypertension

Objectives: Pulse wave velocity (PWV) is a surrogate end-point for cardiovascular morbidity and mortality. A plasma glucose value $155 mg/dl for the 1-hour post-load plasma glucose during an oral glucose tolerance test (OGTT) is able to identify subjects with normal glucose tolerance (NGT) at high-risk for type-2 diabetes (T2D) and for subclinical organ damage. Thus, we addressed the question if 1-hour post-load plasma glucose levels, affects PWV and its central hemodynamic correlates, as augmentation pressure (AP) and augmentation index (AI). Methods: We enrolled 584 newly diagnosed hypertensives. All patients underwent OGTT and measurements of PWV, AP and AI. Insulin sensitivity was assessed by Matsuda-index. Results: Among participants, 424 were NGT and 160 had impaired glucose tolerance (IGT). Of 424 NGT, 278 had 1-h postload plasma glucose ,155 mg/dl (NGT,155) and 146 had 1-h post-load plasma glucose$155 mg/dl (NGT$155). NGT$155 had a worse insulin sensitivity and higher hs-CRP than NGT,155, similar to IGT subjects. In addition, NGT $155 in comparison with NGT,155 had higher central systolic blood pressure (134612 vs 131610 mmHg), as well as PWV (8.463.7 vs 6.761.7 m/s), AP (12.567.1 vs 9.865.7 mmHg) and AI (29.4611.9 vs 25.1612.4 regression analysis, 1-h post-load plasma glucose resulted the major determinant of all indices of vascular stiffness. Conclusion: Hypertensive NGT$155 subjects, compared with NGT,155, have higher PWV and its hemodynamic correlates that increase their cardiovascular risk profile

Seasonally resolved stable isotope chronologies from northern Thailand deciduous trees

Author Posting. © The Authors, 2005. This is the author's version of the work. It is posted here by permission of Elsevier B. V. for personal use, not for redistribution. The definitive version was published in Earth and Planetary Science Letters 235 (2005): 752-765, doi:10.1016/j.epsl.2005.05.012.Despite the existence of a number of climate proxies, the terrestrial expression of tropical climate variability over the past few centuries remains poorly resolved. We explore the applicability of stable isotope dendroclimatology as a tool for chronology and paleo-hydrology reconstruction on deciduous trees from monsoonal northern Thailand. Analysis of 11 trees coming from 4 different regions of northern Thailand yielded 7 records with varying degrees of δ18O and δ13C seasonality. We develop age models for trees lacking visible rings based on the seasonality of the δ18O and find agreement to within ≤ 3 years with radiocarbon age estimates. We use the isotopic age models to reconstruct estimates of growth rates and find a significant positive correlation between growth and amplitude of the oxygen and carbon seasonal isotopic signals. A comparison of a reconstructed dendro-isotopic index from Pangmapa with regional rainfall records indicates significant correlations consistent with the locally derived patterns but with decreased representation of the variance. Individual isotopic chronologies stemming from different tree species share common trends, which are also consistent with patterns of rainfall variability. We see an increase in the amplitude of the seasonal δ18O cycle along with an increase in δ18Omax over the past few decades suggesting a tracking of the recent drying trend of Thailand's monsoon.This research was supported by NSERC and the Teresa Heinz Scholarship for Environmental Research to PFP and Award #0402425 from the Paleoclimate Program of the Atmospheric Sciences Division of NSF to DPS

A model for assessing the systemic vulnerability in landslide prone areas

Abstract. The objectives of spatial planning should include the definition and assessment of possible mitigation strategies regarding the effects of natural hazards on the surrounding territory. Unfortunately, however, there is often a lack of adequate tools to provide necessary support to the local bodies responsible for land management. This paper deals with the conception, the development and the validation of an integrated numerical model for assessing systemic vulnerability in complex and urbanized landslide-prone areas. The proposed model considers this vulnerability not as a characteristic of a particular element at risk, but as a peculiarity of a complex territorial system, in which the elements are reciprocally linked in a functional way. It is an index of the tendency of a given territorial element to suffer damage (usually of a functional kind) due to its interconnections with other elements of the same territorial system. The innovative nature of this work also lies in the formalization of a procedure based on a network of influences for an adequate assessment of such "systemic" vulnerability. This approach can be used to obtain information which is useful, in any given situation of a territory hit by a landslide event, for the identification of the element which has suffered the most functional damage, ie the most "critical" element and the element which has the greatest repercussions on other elements of the system and thus a "decisive" role in the management of the emergency. This model was developed within a GIS system through the following phases: 1. the topological characterization of the territorial system studied and the assessment of the scenarios in terms of spatial landslide hazard. A statistical method, based on neural networks was proposed for the assessment of landslide hazard; 2. the analysis of the direct consequences of a scenario event on the system; 3. the definition of the assessment model of systemic vulnerability in landslide-prone areas. To highlight the potentialities of the proposed approach we have described a specific case study of landslide hazard in the local council area of Potenza

Flight Tests, Performances and Flight Certification of a Twin-Engine Light Aircraft

This paper deals with flight test activities performed on P2006T, a twin-engine light aircraft recently designed and produced by Tecnam. Research activities and flight tests have been conducted during the flight certification of P2006T for the normal category under CS-23. All the acquired data and flight results presented have been focused on both aircraft certification and on aircraft performances, stability and flight qualities measurement. The data have been acquired through a light, accurate and reliable flight instrumentation available at DIAS (Department of Aerospace Engineering). Some flight data about aircraft leveled speed, stall speed, climb characteristics and ground performances (take-off and landing) will be presented. After preliminary flight tests, winglets have been designed and added to the final configuration in order to obtain good climb performances also in OEI (One Engine Inoperative) conditions. Accurate stall tests have been performed in all configurations and influence of both entry-rate and load factor on stall speed have been highlighted. Excellent ground performances have been measured with short take-off and landing distances compared with similar airplanes. All measured flight performances can be considered very good for this aircraft category and have been used to demonstrate aircraft safety and to obtain CS23 certification

El entorno para el cuidado de personas con demencia

Populations in many countries are ageing at a rapid pace which is expected to rise over the coming years. Health and social care provision and infrastructure need to respond to the ageing population and its related conditions such as dementia. The healthcare built environment can impact on people with dementia and the care pathway is highly relevant to quality of life, patients, residents, family, staff and carers. Evidence-based design solutions and best practice can help to improve the quality of life and deliver value for money during a period of rapid change where long term solutions relating to the healthcare environment are requrired. Research and pilot studies can help to demonstrate the benefits of evidence-based design and best practice for integrated care delivery. This paper explores the current trend and future oportunities to deliver dementia-friendly environments and integrated care through gathering of evidence, development of best practice guidance and integration of care delivery

A Demonstration of Spectral and Spatial Interferometry at THz Frequencies

A laboratory prototype spectral/spatial interferometer has been constructed to demonstrate the feasibility of the double Fourier technique at Far Infrared (FIR) wavelengths (0.15 - 1 THz). It is planned to use this demonstrator to investigate and validate important design features and data processing methods for future astronomical FIR interferometer instruments. In building this prototype we have had to address several key technologies to provide an end-end system demonstration of this double Fourier interferometer. We report on the first results taken when viewing single slit and double slit sources at the focus of a large collimator used to simulate real sources at infinity. The performance of the prototype instrument for these specific field geometries is analyzed to compare with the observed interferometric fringes and to demonstrate image reconstruction capabilities.Comment: Accepted for publication in Applied Optic

Rationales and practices for dynamic stakeholder engagement and disengagement. Evidence from dementia-friendly health and social care environments

Latest developments in stakeholder management literature focus on dynamic stakeholder engagement and disengagement practices, and how these are facilitated towards reaching systemic outcomes. However, limited evidence support that this network-level approach can positively influence project success. The paper analyses this issue by considering the practices (how and when), rationales (why) and outcomes (so what) that evolve in the dynamic management of external stakeholders in dementia-friendly environments. This is a crucial area to explore as the ageing population and rising dementia prevalence has increased the need to engage external stakeholders, such as people living with dementia, to develop dementia-friendly health and social environments. The empirical study of the 2013/2014 Department of Health National Dementia Capital Investment Programme involved a statistical and qualitative analysis of 98 pilot projects’ final lessons learnt reports. The analysis advances the dynamic process of timely engaging and disengaging external stakeholders in a context not previously explored in the literature related to dementia-friendly environments. Eight recurring practices and six rationales, the latter characterized by their temporal dimension, are presented in a processual model of stakeholder management