Distribution of Early Atherosclerotic Lesions in the Human Abdominal Aorta Correlates with Wall Shear Stresses MeasuredIn Vivo

AbstractObjectives: to study the relationship between wall shear stresses measured in vivo and early atherosclerotic lesions in the abdominal aorta. Materials: eight young volunteers for in vivo wall shear-stress measurements. Abdominal aortas from 10 young adults without signs or history of atherosclerotic disease were obtained by autopsy for histomorphometric measurements. Methods: wall shear stresses were measured in the abdominal aorta above and below the renal arteries using a magnetic resonance technique with high resolution for imaging and blood velocity mapping. At identical abdominal aortic locations, intimal thickness was measured blindly using histomorphometric techniques and correlated to wall shear-stress variables using linear-regression analysis. Results: intimal thickness showed a linear decrease with mean wall shear stress (r=−0.90, p<0.01) and with maximum wall shear stress (r=−0.86, p<0.01). Conclusions: intimal thickness in the normal abdominal aorta is associated with mean, maximum and oscillating wall shear stresses. These in vivo data corroborate previous in vitro studies suggesting that low and oscillating wall shear stresses are localising factors for intimal thickening and hence the early development of atherosclerosis

Extensions and degenerations of spectral triples

For a unital C*-algebra A, which is equipped with a spectral triple and an extension T of A by the compacts, we construct a family of spectral triples associated to T and depending on the two positive parameters (s,t). Using Rieffel's notation of quantum Gromov-Hausdorff distance between compact quantum metric spaces it is possible to define a metric on this family of spectral triples, and we show that the distance between a pair of spectral triples varies continuously with respect to the parameters. It turns out that a spectral triple associated to the unitarization of the algebra of compact operators is obtained under the limit - in this metric - for (s,1) -> (0, 1), while the basic spectral triple, associated to A, is obtained from this family under a sort of a dual limiting process for (1, t) -> (1, 0). We show that our constructions will provide families of spectral triples for the unitarized compacts and for the Podles sphere. In the case of the compacts we investigate to which extent our proposed spectral triple satisfies Connes' 7 axioms for noncommutative geometry.Comment: 40 pages. Addedd in ver. 2: Examples for the compacts and the Podle`s sphere plus comments on the relations to matricial quantum metrics. In ver.3 the word "deformations" in the original title has changed to "degenerations" and some illustrative remarks on this aspect are adde

Snowmelt progression drives habitat selection and vegetation disturbance by an Arctic avian herbivore

Arctic tundra vegetation is affected by rapid climatic change and fluctuating herbivore population sizes. Broad-billed geese, after their arrival in spring, feed intensively on belowground rhizomes, thereby disturbing soil, mosses, and vascular plant vegetation. Understanding of how springtime snowmelt patterns drive goose behavior is thus key to better predict the state of Arctic tundra ecosystems. Here, we analyzed how snowmelt progression affected springtime habitat selection and vegetation disturbance by pink-footed geese (Anser brachyrhynchus) in Svalbard during 2019. Our analysis, based on GPS telemetry data and field observations of geese, plot-based assessments of signs of vegetation disturbance, and drone and satellite images, covered two spatial scales (fine scale: extent 0.3 km2, resolution 5 cm; valley scale: extent 30 km2, resolution 10 m). We show that pink-footed goose habitat selection and signs of vegetation disturbance were correlated during the spring pre-breeding period; disturbances were most prevalent in the moss tundra vegetation class and areas free from snow early in the season. The results were consistent across the spatial scales and methods (GPS telemetry and field observations). We estimated that 23.4% of moss tundra and 11.2% of dwarf-shrub heath vegetation in the valley showed signs of disturbance by pink-footed geese during the study period. This study demonstrates that aerial imagery and telemetry can provide data to detect disturbance hotspots caused by pink-footed geese. Our study provides empirical evidence to general notions about implications of climate change and snow season changes that include increased variability in precipitation.</p

Self-perceived weather sensitivity and joint pain in older people with osteoarthritis in six European countries: results from the European Project on Osteoarthritis (EPOSA)

Background: people with osteoarthritis (OA) frequently report that their joint pain is influenced by weather conditions. This study aimed to examine whether there are differences in perceived joint pain between older people with OA who reported to be weather-sensitive versus those who did not in six European countries with different climates and to identify characteristics of older persons with OA that are most predictive of perceived weather sensitivity.Methods: baseline data from the European Project on OSteoArthritis (EPOSA) were used. ACR classification criteria were used to determine OA. Participants with OA were asked about their perception of weather as influencing their pain. Using a two-week follow-up pain calendar, average self-reported joint pain was assessed (range: 0 (no pain)-10 (greatest pain intensity)). Linear regression analyses, logistic regression analyses and an independent t-test were used. Analyses were adjusted for several confounders.Results: the majority of participants with OA (67.2%) perceived the weather as affecting their pain. Weather-sensitive participants reported more pain than non-weather-sensitive participants (M?=?4.1, SD?=?2.4 versus M?=?3.1, SD?=?2.4; p?&lt;?0.001). After adjusting for several confounding factors, the association between self-perceived weather sensitivity and joint pain remained present (B?=?0.37, p?=?0.03). Logistic regression analyses revealed that women and more anxious people were more likely to report weather sensitivity. Older people with OA from Southern Europe were more likely to indicate themselves as weather-sensitive persons than those from Northern Europe.Conclusions: weather (in)stability may have a greater impact on joint structures and pain perception in people from Southern Europe. The results emphasize the importance of considering weather sensitivity in daily life of older people with OA and may help to identify weather-sensitive older people with O

Association between recent exposure to continuous glucose monitoring-recorded hypoglycaemia and counterregulatory and symptom responses to subsequent controlled hypoglycaemia in people with type 1 diabetes

AimExperimental hypoglycaemia blunts the counterregulatory hormone and symptom responses to a subsequent episode of hypoglycaemia. In this study, we aimed to assess the associations between antecedent exposure and continuous glucose monitoring (CGM)-recorded hypoglycaemia during a 1-week period and the counterregulatory responses to subsequent experimental hypoglycaemia in people with type 1 diabetes.Materials and MethodsForty-two people with type 1 diabetes (20 females, mean ± SD glycated haemoglobin 7.8% ± 1.0%, diabetes duration median (interquartile range) 22.0 (10.5-34.9) years, 29 CGM users, and 19 with impaired awareness of hypoglycaemia) wore an open intermittently scanned CGM for 1 week to detect hypoglycaemic exposure before a standardized hyperinsulinaemic-hypoglycaemic [2.8 ± 0.1 mmol/L (50.2 ± 2.3 mg/dl)] glucose clamp. Symptom responses and counterregulatory hormones were measured during the clamp. The study is part of the HypoRESOLVE project.ResultsCGM-recorded hypoglycaemia in the week before the clamp was negatively associated with adrenaline response [β −0.09, 95% CI (−0.16, −0.02) nmol/L, p = .014], after adjusting for CGM use, awareness of hypoglycaemia, glycated haemoglobin and total daily insulin dose. This was driven by level 2 hypoglycaemia [&lt;3.0 mmol/L (54 mg/dl)] [β −0.21, 95% CI (−0.41, −0.01) nmol/L, p = .034]. CGM-recorded hypoglycaemia was negatively associated with total, autonomic, and neuroglycopenic symptom responses, but these associations were lost after adjusting for potential confounders.ConclusionsRecent exposure to CGM-detected hypoglycaemia was independently associated with an attenuated adrenaline response to experimental hypoglycaemia in people with type 1 diabetes

An Orally Active Galectin-3 Antagonist Inhibits Lung Adenocarcinoma Growth and Augments Response to PD-L1 Blockade

A combination therapy approach is required to improve tumor immune infiltration and patient response to immune checkpoint inhibitors that target negative regulatory receptors. Galectin-3 is a β-galactoside-binding lectin that is highly expressed within the tumor microenvironment of aggressive cancers and whose expression correlates with poor survival particularly in patients with non-small cell lung cancer (NSCLC). To examine the role of galectin-3 inhibition in NSCLC, we tested the effects of galectin-3 depletion using genetic and pharmacologic approaches on syngeneic mouse lung adenocarcinoma and human lung adenocarcinoma xenografts. Galectin-3-/- mice developed significantly smaller and fewer tumors and metastases than syngeneic C57/ Bl6 wild-type mice. Macrophage ablation retarded tumor growth, whereas reconstitution with galectin-3-positive bone marrow restored tumor growth in galectin-3-/- mice, indicating that macrophages were a major driver of the antitumor response. Oral administration of a novel small molecule galectin-3 inhibitor GB1107 reduced human and mouse lung adenocarcinoma growth and blocked metastasis in the syngeneic model. Treatment with GB1107 increased tumor M1 macrophage polarization and CD8 + T-cell infiltration. Moreover, GB1107 potentiated the effects of a PD-L1 immune checkpoint inhibitor to increase expression of cytotoxic (IFNγ, granzyme B, perforin-1, Fas ligand) and apoptotic (cleaved caspase-3) effector molecules. In summary, galectin-3 is an important regulator of lung adenocarcinoma progression. The novel galectin-3 inhibitor presented could provide an effective, nontoxic monotherapy or be used in combination with immune checkpoint inhibitors to boost immune infiltration and responses in lung adenocarcinoma and potentially other aggressive cancers. Significance: A novel and orally active galectin-3 antagonist inhibits lung adenocarcinoma growth and metastasis and augments response to PD-L1 blockade

Is the writing on the wall for tabletops?

We describe an ethnographic study that explores how low tech and new tech surfaces support participation and collaboration during a workshop breakout session. The low tech surfaces were post-it notes and large sheets of paper. The new tech surfaces were writeable walls and a multi-touch tabletop. Four groups used the different surfaces during three phases: i) brief presentation of position papers and discussion of themes, ii) the creation of a group presentation and iii) a report back session. Participation and collaboration varied depending on the physical, technological and social factors at play when using the different surfaces. We discuss why this is the case, noting how new shareable surfaces may need to be constrained to invite participation in ways that are simply taken for granted because of their familiarity when using low tech materials